Healthcare Provider Details

I. General information

NPI: 1629579412
Provider Name (Legal Business Name): NEW HORIZON REHABILITATION EAST LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

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

III. Provider practice location address

4581 ROUTE 9
HOWELL NJ
07731-3382
US

IV. Provider business mailing address

4581 ROUTE 9
HOWELL NJ
07731-3382
US

V. Phone/Fax

Practice location:
  • Phone: 201-635-1195
  • Fax:
Mailing address:
  • Phone: 201-635-1195
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0400X
TaxonomyRehabilitation Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: JACK JAFFA
Title or Position: MEMBER
Credential:
Phone: 201-635-1195