Provider Demographics
NPI:1285977371
Name:REHAB UNIVERSE, LLC
Entity type:Organization
Organization Name:REHAB UNIVERSE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRACTITIONER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MONIKA
Authorized Official - Middle Name:EVE
Authorized Official - Last Name:VAYNBERG
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:908-875-1600
Mailing Address - Street 1:PO BOX 1155
Mailing Address - Street 2:
Mailing Address - City:UNION
Mailing Address - State:NJ
Mailing Address - Zip Code:07083-1155
Mailing Address - Country:US
Mailing Address - Phone:908-875-1600
Mailing Address - Fax:908-279-8300
Practice Address - Street 1:137 SPRINGFIELD AVE
Practice Address - Street 2:2ND FLOOR
Practice Address - City:SUMMIT
Practice Address - State:NJ
Practice Address - Zip Code:07901
Practice Address - Country:US
Practice Address - Phone:908-875-1600
Practice Address - Fax:908-279-8300
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-27
Last Update Date:2013-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY62-036056261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy