MEDICARE: MID-ATLANTIC REHABILITATION ASSOCIATES P A

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208100000X	Physical Medicine & Rehabilitation Physician

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
6	200043485	OTHER		RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	743208	OTHER	NJ	AMERIHEALTH ADMINISTRATOR
2	115192800	OTHER		US DEPT OF LABOR
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	651882000	OTHER	NJ	AMERIHEALTH HMO / PPO
5	628290	OTHER		ANTHEM BLUE SHIELD
7	115309	OTHER	NJ	AETNA HMO / PPO

General Provider Information

NPI Number	:	1053361261
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MID-ATLANTIC REHABILITATION ASSOCIATES P A

Provider Business Mailing Address
First Line	:	PO BOX 8627
Second Line	:
City	:	CHERRY HILL
State	:	NJ
Zip	:	08002-0627
Country	:	US
Telephone Number	:	856-755-1616
Fax Number	:	856-755-1616

Provider Business Practice Location Address
First Line	:	1750 ZION RD
Second Line	:	SUITE 103
City	:	NORTHFIELD
State	:	NJ
Zip	:	08225-1844
Country	:	US
Telephone Number	:	609-641-2581
Fax Number	:	609-641-6901

Authorized Official
Title or Position	:	PRES./OWNER
Name	:	MR. ARVIND B BALIGA
Credential	:	M.D.
Telephone Number	:	609-641-2581

Provider Enumeration Date	:	05/10/2006
Last Update Date	:	04/13/2017

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Directions to “MID-ATLANTIC REHABILITATION ASSOCIATES P A ” Practice Location

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