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PEDIATRIC REHABILITATION OF NORTH JERSEY PC
NPI 1396897773
Clinic/Center - Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) in Wayne, NJ

Active since January 17, 2007
309 BLACK OAK RIDGE RD, WAYNE, NJ 07470(973) 628-1300(973) 628-0300 Get Directions Write a Review

NPPES record last updated: March 18, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pediatric Rehabilitation Of North Jersey Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PEDIATRIC REHABILITATION OF NORTH JERSEY PC (NPI 1396897773) is a healthcare organization registered as a rehabilitation, comprehensive outpatient rehabilitation facility (corf) in Wayne, New Jersey and active in the NPI registry since January 2007. The organization lists Marissa M Muccio, President, as its authorized official.

NPPES Registry Identity

NPI1396897773
Entity TypeOrganization
Primary Taxonomy261QR0401X
Legal Business NamePEDIATRIC REHABILITATION OF NORTH JERSEY PC
Location Address309 BLACK OAK RIDGE RDWayne, NJ 07470-6504
Mailing Address309 Black Oak Ridge RdWayne, NJ 07470-6504 · (973) 628-1300 · Fax (973) 628-0300
Phone(973) 628-1300
Fax(973) 628-0300
Organization SubpartNo
Authorized OfficialMarissa M MuccioPresident · (973) 628-1300
Enumeration DateJanuary 17, 2007
Last NPPES UpdateMarch 18, 2014
✔ NPI 1396897773 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)Ambulatory Health Care Facilities
Taxonomy Code261QR0401X
License✔ Licensed in NJ · 40QA00794200
309 BLACK OAK RIDGE RD, Wayne, NJ 07470
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Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DIANA CARR
Occupational Therapist
309 BLACK OAK RIDGE RD
WAYNE, NJ 07470
Passaic County (973) 628-1300
MRS. FAITH ELISE BELL MS, CCC-SLP
Speech-Language Pathologist
309 BLACK OAK RIDGE RD
WAYNE, NJ 07470
Passaic County (973) 692-9072
MR. MARISSA M MUCCIO PT
Specialist
309 BLACK OAK RIDGE RD
WAYNE, NJ 07470
Passaic County (973) 692-9072
MS. ALYSON LIO
Speech-Language Pathologist
309 BLACK OAK RIDGE RD
WAYNE, NJ 07470
Passaic County (973) 628-1300
REBECCA PACAILLER PT, DPT
Health Educator
309 BLACK OAK RIDGE RD
WAYNE, NJ 07470
Passaic County (973) 628-1300
MARISSA L BUSH D.P.T.
Physical Therapist (Pediatrics)
309 BLACK OAK RIDGE RD
WAYNE, NJ 07470
Passaic County (973) 956-2900
MRS. PAULA DIANNE EMMA OT
Occupational Therapist
309 BLACK OAK RIDGE RD
WAYNE, NJ 07470
Passaic County (973) 956-2900
MARTHA BONILLA P.T., D.P.T.
Physical Therapist
309 BLACK OAK RIDGE RD
WAYNE, NJ 07470
Passaic County (973) 692-9072

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pediatric Rehabilitation Of North Jersey PC's NPI number?

The NPI number for Pediatric Rehabilitation Of North Jersey PC is 1396897773. It was assigned to this organization in the NPPES registry on January 17, 2007.

Where is Pediatric Rehabilitation Of North Jersey PC located?

Pediatric Rehabilitation Of North Jersey PC is located at 309 Black Oak Ridge Rd, Wayne, NJ 07470. The listed phone number is (973) 628-1300.

What is Pediatric Rehabilitation Of North Jersey PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF), with taxonomy code 261QR0401X.

When was this NPI record last updated?

The NPPES record for Pediatric Rehabilitation Of North Jersey PC was last updated on March 18, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.