Healthcare Provider Details

I. General information

NPI: 1437332301
Provider Name (Legal Business Name): PHYSICAL REHABILITATION CENTER LLP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/13/2007
Last Update Date: 03/04/2026
Certification Date: 03/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11 BONUS HILL RD
SCOTCH PLAINS NJ
07076-2701
US

IV. Provider business mailing address

11 BONUS HILL RD
SCOTCH PLAINS NJ
07076-2701
US

V. Phone/Fax

Practice location:
  • Phone: 908-624-1050
  • Fax: 908-274-3135
Mailing address:
  • Phone: 908-624-1050
  • Fax: 908-274-3135

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2081P2900X
TaxonomyPain Medicine (Physical Medicine & Rehabilitation) Physician
License NumberMA63469
License Number StateNJ

VIII. Authorized Official

Name: DR. BETTY VEKHNIS
Title or Position: PROVIDER
Credential: MD
Phone: 212-536-7667