Provider Demographics
NPI:1407507379
Name:MAXIMUM MEDICAL & REHABILITATION
Entity type:Organization
Organization Name:MAXIMUM MEDICAL & REHABILITATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGERS
Authorized Official - Prefix:
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:
Authorized Official - Last Name:BOORUJY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-479-2241
Mailing Address - Street 1:PO BOX 104
Mailing Address - Street 2:
Mailing Address - City:EAST HANOVER
Mailing Address - State:NJ
Mailing Address - Zip Code:07936-0104
Mailing Address - Country:US
Mailing Address - Phone:973-779-7361
Mailing Address - Fax:973-779-7385
Practice Address - Street 1:90 ROUTE 10 WEST
Practice Address - Street 2:
Practice Address - City:SUCCASUNNA
Practice Address - State:NJ
Practice Address - Zip Code:07876-0787
Practice Address - Country:US
Practice Address - Phone:973-479-2241
Practice Address - Fax:973-884-0146
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-12
Last Update Date:2025-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Multi-Specialty