Organization

Northern Rehab Inc.

May also be knows as Northern Rehabilitation Agency

Legal Business Name

Northern Rehab Inc.

Also Known As

Northern Rehabilitation Agency

NPI Number

1326100413

NPI Type

Organization

Enumeration Date

12/14/2006

Specialties

(Taxonomies)

Code

225X00000X
225100000X
235Z00000X

Primary Taxonomy

No
No
No

Licenses

State

New Jersey
New Jersey
New Jersey

License Number

46TR00404000
40QA00347900
41YS00463300

Contact
Information

Purpose

Mailing
Location

Address

401 HAMBURG TPKE
401 HAMBURG TPKE

City

Wayne
Wayne

State

NJ
NJ

Postal Code

07470-2154
07470-2154

Country

US
US

Telephone Number

(973) 790-9010
(973) 790-9010

Authorized Official

Name

Dr. Shakeel Qazi

Title or Position

EXECUTIVE DIRECTOR

Telephone Number

(973) 790-9010

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 08/22/2020

Provider Address