Provider Demographics
NPI:1427287820
Name:ONSITE REHAB SERVICES LLC
Entity type:Organization
Organization Name:ONSITE REHAB SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPERATIONS DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:GANESH
Authorized Official - Middle Name:
Authorized Official - Last Name:PERUMAL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-757-7589
Mailing Address - Street 1:412 PEBBLE CREEK CT
Mailing Address - Street 2:
Mailing Address - City:PENNINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08534-1945
Mailing Address - Country:US
Mailing Address - Phone:201-757-5789
Mailing Address - Fax:609-737-1345
Practice Address - Street 1:412 PEBBLE CREEK CT
Practice Address - Street 2:
Practice Address - City:PENNINGTON
Practice Address - State:NJ
Practice Address - Zip Code:08534-1945
Practice Address - Country:US
Practice Address - Phone:201-757-5789
Practice Address - Fax:609-737-1345
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-07
Last Update Date:2010-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ41YS00349400251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health