Provider Demographics
NPI:1538598404
Name:JFKJOHNSON REHAB INSTITUTE
Entity type:Organization
Organization Name:JFKJOHNSON REHAB INSTITUTE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BTU SOCIAL WORKER
Authorized Official - Prefix:MS
Authorized Official - First Name:ANN
Authorized Official - Middle Name:H
Authorized Official - Last Name:GREIM
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:732-321-7638
Mailing Address - Street 1:65 JAMES ST.
Mailing Address - Street 2:BTU SOCIAL WORK DEPT.
Mailing Address - City:EDISON
Mailing Address - State:NJ
Mailing Address - Zip Code:08818-3059
Mailing Address - Country:US
Mailing Address - Phone:732-321-7638
Mailing Address - Fax:783-274-4585
Practice Address - Street 1:65 JAMES ST
Practice Address - Street 2:BTU SOCIAL WORK DEPT.
Practice Address - City:EDISON
Practice Address - State:NJ
Practice Address - Zip Code:08820-3947
Practice Address - Country:US
Practice Address - Phone:732-321-7638
Practice Address - Fax:783-274-4585
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:JFK HEALTHCARE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2013-11-01
Last Update Date:2013-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC00866800283X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes283X00000XHospitalsRehabilitation Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ310905OtherBC/MEDICARE