Provider Demographics
NPI:1538643150
Name:GEMINI HEALTH AND REHABILITATION, LLC
Entity type:Organization
Organization Name:GEMINI HEALTH AND REHABILITATION, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:SAJIDA/JOHN
Authorized Official - Middle Name:H/A
Authorized Official - Last Name:MOKHASHI/IPPOLITO
Authorized Official - Suffix:
Authorized Official - Credentials:MD/OTD
Authorized Official - Phone:201-988-9875
Mailing Address - Street 1:51 KINGLET DR S
Mailing Address - Street 2:
Mailing Address - City:CRANBURY
Mailing Address - State:NJ
Mailing Address - Zip Code:08512-2133
Mailing Address - Country:US
Mailing Address - Phone:201-988-9875
Mailing Address - Fax:
Practice Address - Street 1:51 KINGLET DR S
Practice Address - Street 2:
Practice Address - City:CRANBURY
Practice Address - State:NJ
Practice Address - Zip Code:08512-2133
Practice Address - Country:US
Practice Address - Phone:201-988-9875
Practice Address - Fax:908-967-6210
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-19
Last Update Date:2018-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207QG0300XAllopathic & Osteopathic PhysiciansFamily MedicineGeriatric MedicineGroup - Multi-Specialty