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NPI Code Detail

MEDICARE: DR REBMAN NJ PC

MEDICARE: DR REBMAN NJ PC
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
1208D00000XGeneral Practice Physician

General Provider Information

NPI Number : 1568310332
Entity Type Code : Organization
Provider Name (Legal Business Name) : DR REBMAN NJ PC
Provider Business Mailing Address
First Line : 885 3RD AVE FL 28
Second Line :
City : NEW YORK
State : NY
Zip : 10022-4834
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 25 E LINDSLEY RD
Second Line :
City : CEDAR GROVE
State : NJ
Zip : 07009-1023
Country : US
Telephone Number : 929-650-3990
Fax Number :
Authorized Official
Title or Position : OWNER
Name : GLEN REBMAN
Credential :
Telephone Number : 929-650-3990
Provider Enumeration Date : 03/18/2026
Last Update Date : 03/18/2026

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Directions to “DR REBMAN NJ PC ” Practice Location

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