Provider Demographics
NPI:1902974686
Name:JZV CENTER FOR REHABILITATION OF THE UPPER EXTREMITY, INC
Entity Type:Organization
Organization Name:JZV CENTER FOR REHABILITATION OF THE UPPER EXTREMITY, INC
Other - Org Name:JZV CRUE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:JILL
Authorized Official - Middle Name:I
Authorized Official - Last Name:ZORN VELDER
Authorized Official - Suffix:
Authorized Official - Credentials:MA OTR CHT
Authorized Official - Phone:973-773-4263
Mailing Address - Street 1:1373 BROAD ST
Mailing Address - Street 2:SUITE 302
Mailing Address - City:CLIFTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07013-4200
Mailing Address - Country:US
Mailing Address - Phone:973-773-4263
Mailing Address - Fax:973-773-4336
Practice Address - Street 1:85 ORIENT WAY
Practice Address - Street 2:
Practice Address - City:RUTHERFORD
Practice Address - State:NJ
Practice Address - Zip Code:07070-2070
Practice Address - Country:US
Practice Address - Phone:201-438-6266
Practice Address - Fax:201-438-5633
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-01
Last Update Date:2016-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHandGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
085083TEQMedicare ID - Type Unspecified