Healthcare Provider Details

I. General information

NPI: 1245607076
Provider Name (Legal Business Name): SUBACUTE MEDICAL ASSOCIATES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/27/2015
Last Update Date: 03/02/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

110 GROVE AVE
CEDAR GROVE NJ
07009-1436
US

IV. Provider business mailing address

66 W GILBERT ST SUITE 200
TINTON FALLS NJ
07701-4947
US

V. Phone/Fax

Practice location:
  • Phone: 973-571-6600
  • Fax:
Mailing address:
  • Phone: 732-212-0060
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. JOSEPH J CALABRO
Title or Position: OWNER
Credential: DO
Phone: 732-212-0060