Healthcare Provider Details

I. General information

NPI: 1124474796
Provider Name (Legal Business Name): REMM COGNITIVE TRAINING II, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/12/2016
Last Update Date: 05/12/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4 HENDRICKSON AVE
RED BANK NJ
07701-6154
US

IV. Provider business mailing address

176 US HIGHWAY 9 STE 202
ENGLISHTOWN NJ
07726-9220
US

V. Phone/Fax

Practice location:
  • Phone: 732-444-8579
  • Fax:
Mailing address:
  • Phone: 732-444-8579
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225400000X
TaxonomyRehabilitation Practitioner
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225500000X
TaxonomyRespiratory/Developmental/Rehabilitative Specialist/Technologist
License Number
License Number State

VIII. Authorized Official

Name: MR. MICHAEL GINSBERG
Title or Position: EXECUTIVE DIRECTOR/CEO
Credential:
Phone: 732-444-8579