Provider Demographics
NPI:1194136028
Name:REHAB PLUS LLC
Entity type:Organization
Organization Name:REHAB PLUS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COORDINATOR
Authorized Official - Prefix:
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:C
Authorized Official - Last Name:TALAMAYAN
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:732-300-5911
Mailing Address - Street 1:1935 LAKEWOOD RD STE 9
Mailing Address - Street 2:
Mailing Address - City:TOMS RIVER
Mailing Address - State:NJ
Mailing Address - Zip Code:08755-1211
Mailing Address - Country:US
Mailing Address - Phone:732-831-4558
Mailing Address - Fax:
Practice Address - Street 1:1935 LAKEWOOD RD STE 9
Practice Address - Street 2:
Practice Address - City:TOMS RIVER
Practice Address - State:NJ
Practice Address - Zip Code:08755-1211
Practice Address - Country:US
Practice Address - Phone:732-831-4558
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-14
Last Update Date:2014-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ1864833261QR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation