Provider Demographics
NPI:1629136494
Name:TEMPOCARE HEALTH & REHABILITATION
Entity type:Organization
Organization Name:TEMPOCARE HEALTH & REHABILITATION
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/DOCTOR OF PHYSICAL THERAPY
Authorized Official - Prefix:DR
Authorized Official - First Name:NGOZI
Authorized Official - Middle Name:U
Authorized Official - Last Name:ILOKA
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:609-598-1257
Mailing Address - Street 1:218 ERIAL RD
Mailing Address - Street 2:
Mailing Address - City:SICKLERVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08081-3100
Mailing Address - Country:US
Mailing Address - Phone:609-598-1257
Mailing Address - Fax:856-581-7991
Practice Address - Street 1:609 BELLAIR AVE
Practice Address - Street 2:
Practice Address - City:VINELAND
Practice Address - State:NJ
Practice Address - Zip Code:08360-5618
Practice Address - Country:US
Practice Address - Phone:856-437-0601
Practice Address - Fax:856-581-7991
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-05
Last Update Date:2024-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0533220Medicaid