Provider Demographics
NPI:1215917471
Name:HAND REHAB ASSOCIATES, LLC
Entity type:Organization
Organization Name:HAND REHAB ASSOCIATES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:GERARD
Authorized Official - Last Name:HAYES
Authorized Official - Suffix:
Authorized Official - Credentials:OTR,CHT
Authorized Official - Phone:973-927-7112
Mailing Address - Street 1:225 ROUTE 10
Mailing Address - Street 2:SUITE 102
Mailing Address - City:SUCCASUNNA
Mailing Address - State:NJ
Mailing Address - Zip Code:07876-1300
Mailing Address - Country:US
Mailing Address - Phone:973-927-7112
Mailing Address - Fax:973-927-7996
Practice Address - Street 1:225 ROUTE 10
Practice Address - Street 2:SUITE 102
Practice Address - City:SUCCASUNNA
Practice Address - State:NJ
Practice Address - Zip Code:07876-1300
Practice Address - Country:US
Practice Address - Phone:973-927-7112
Practice Address - Fax:973-927-7996
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-21
Last Update Date:2008-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ46TR00022900174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ097090Medicare ID - Type UnspecifiedGROUP PROVIDER NUMBER
NJ5628780001Medicare NSC