Healthcare Provider Details

I. General information

NPI: 1679843593
Provider Name (Legal Business Name): DIAMOND REHAB CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/09/2012
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2186 RTE 27 STE 1C
NORTH BRUNSWICK NJ
08902-1137
US

IV. Provider business mailing address

2186 RTE 27 STE 1C
NORTH BRUNSWICK NJ
08902-1137
US

V. Phone/Fax

Practice location:
  • Phone: 732-248-1805
  • Fax:
Mailing address:
  • Phone: 732-248-1805
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number
License Number State

VIII. Authorized Official

Name: SHMUEL WALDMAN
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 732-248-1805