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General NPI Number Information
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NPI Number | 1558454702
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Entity Type | Organization
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Legal Business Name | NEW JERSEY REHAB AND ELECTRODIAGNOSTICS PA
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Dates
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Enumeration Date | 10/02/2006
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Last Update Date | 10/27/2025
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Provider Practice Location Address
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Address Line | 10 STERLING DR
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City | PISCATAWAY
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State | NJ
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Zip | 08854-4911
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Country | US
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Telephone | 908-429-7799
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Fax | 866-611-9616
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Provider Business Mailing Address
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Address Line | 100 DAVIDSON AVE STE 210
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City | SOMERSET
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State | NJ
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Zip | 08873-1312
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Country | US
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Telephone | 908-429-7799
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Fax | 866-611-9616
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Authorized Official
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Title or Position | OWNER
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Name | ANJU RUSTAGI
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Credential | MD
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Telephone | 908-429-7799
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number |
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License Number State |
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