MEDICARE: REHABILITATION MEDICINE ASSOCIATES,P.A.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist		NJ

General Provider Information

NPI Number	:	1487753588
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	REHABILITATION MEDICINE ASSOCIATES,P.A.

Provider Business Mailing Address
First Line	:	345 MAIN ST
Second Line	:
City	:	WEST ORANGE
State	:	NJ
Zip	:	07052-5700
Country	:	US
Telephone Number	:	973-325-8388
Fax Number	:	973-325-8488

Provider Business Practice Location Address
First Line	:	345 MAIN ST
Second Line	:
City	:	WEST ORANGE
State	:	NJ
Zip	:	07052-5700
Country	:	US
Telephone Number	:	973-325-8388
Fax Number	:	973-325-8488

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	MRS. JOANN KOUTOUZAKIS
Credential	:
Telephone Number	:	973-325-8388

Provider Enumeration Date	:	09/22/2006
Last Update Date	:	07/21/2022

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