Healthcare Provider Details

I. General information

NPI: 1598889198
Provider Name (Legal Business Name): CLAREMONT MEDICAL AND REHABILITATION INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/19/2007
Last Update Date: 12/16/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

134 EVERGREEN PLACE SUITE 404
EAST ORANGE NJ
07018
US

IV. Provider business mailing address

134 EVERGREEN PLACE SUITE 404
EAST ORANGE NJ
07018
US

V. Phone/Fax

Practice location:
  • Phone: 973-673-2300
  • Fax: 973-673-2295
Mailing address:
  • Phone: 973-673-2300
  • Fax: 973-673-2295

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License NumberHP0020400
License Number StateNJ

VIII. Authorized Official

Name: PIUS ESSILFIE-OBENG
Title or Position: PRESIDENT AND CEO
Credential:
Phone: 973-673-2300