Healthcare Provider Details

I. General information

NPI: 1437627577
Provider Name (Legal Business Name): ATLANTIC REHABILITATION INSTITUTE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/07/2018
Last Update Date: 04/03/2023
Certification Date: 04/03/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 MADISON AVENUE
MADISON NJ
07940
US

IV. Provider business mailing address

680 S 4TH ST
LOUISVILLE KY
40202-2407
US

V. Phone/Fax

Practice location:
  • Phone: 973-549-7440
  • Fax: 973-549-7441
Mailing address:
  • Phone: 502-596-6505
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code283X00000X
TaxonomyRehabilitation Hospital
License Number
License Number State

VIII. Authorized Official

Name: SAIF SALIM
Title or Position: HOSPITAL CEO
Credential:
Phone: 973-549-7501