JERSEY REHAB PA PC
NPI 1629005012
Physical Medicine & Rehabilitation in Belleville, NJ

Active since June 28, 2006
15 NEWARK AVE, BELLEVILLE, NJ 07109(973) 844-9220(973) 844-9221 Get Directions Write a Review

NPPES record last updated: October 23, 2012. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Jersey Rehab Pa Pc NPPES

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

JERSEY REHAB PA PC (NPI 1629005012) is a healthcare organization registered as a physical medicine & rehabilitation in Belleville, New Jersey and active in the NPI registry since June 2006. The organization lists Edwin M. Gangemi, Md, as its authorized official.

NPPES Registry Identity

NPI1629005012
Entity TypeOrganization
Primary Taxonomy208100000X
Legal Business NameJERSEY REHAB PA
Location Address15 NEWARK AVEBelleville, NJ 07109-1123
Mailing Address15 Newark AveBelleville, NJ 07109-1123 · (973) 482-1614 · Fax (973) 485-6126
Fax(973) 844-9221
Organization SubpartNo
Authorized OfficialEdwin M. GangemiMd · (973) 482-1614
Enumeration DateJune 28, 2006
Last NPPES UpdateOctober 23, 2012
✔ NPI 1629005012 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysical Medicine & RehabilitationAllopathic & Osteopathic Physicians
Taxonomy Code208100000X
Definition
Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices.
15 NEWARK AVE, Belleville, NJ 07109

Other Names 1

Other NameJersey Rehab Pa Pc

Other Identifiers 4

Medicare PINA100001253NY
Medicare NSC6540890001NJ
OtherA100001253NY · Medicare Ptan New For Ny
Medicare ID-Type Unspecified784955NJ

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jersey Rehab Pa Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateNew YorkEnrollment IDO20090508000547Non-DME Part B · Clinic/Group PracticeDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to Jersey Rehab PA PC, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 4 within 10 miles. They are listed nearest first.

Clinicians, nearest first (6)

Physical Medicine and Rehabilitation
NPI 1093786212
15 NEWARK AVE 15 NEWARK AVE
Belleville, NJ 07109
(973) 844-9220
✔ PECOS✔ Accepts MedicareSame address
Physical Medicine and Rehabilitation
NPI 1184656373
15 NEWARK AVE
Belleville, NJ 07109
(973) 482-1614
✔ PECOS✔ Accepts MedicareSame address
Interventional Pain Management
NPI 1861716292
15 NEWARK AVE
Belleville, NJ 07109
(973) 844-9220
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1407418957
50 HARRISON ST STE 212F
Hoboken, NJ 07030
(201) 484-8950
✔ PECOS✔ Accepts Medicare7.7 mi
Nurse Practitioner
NPI 1811536154
815 BALTIMORE AVE
Roselle, NJ 07203
(908) 245-3446
✔ PECOS✔ Accepts Medicare11 mi
Nurse Practitioner
NPI 1942656285
9225 KENNEDY BLVD #A
North Bergen, NJ 07047
(201) 869-2707
✔ PECOS

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Jersey Rehab PA's NPI number?

The NPI number for Jersey Rehab PA is 1629005012. It was assigned to this organization in the NPPES registry on June 28, 2006. The provider is also known as Jersey Rehab PA PC.

Where is Jersey Rehab PA located?

Jersey Rehab PA is located at 15 Newark Ave, Belleville, NJ 07109. The listed phone number is (973) 844-9220.

What is Jersey Rehab PA's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation with taxonomy code 208100000X.

Is Jersey Rehab PA enrolled in Medicare?

Yes. Jersey Rehab PA is registered in the Medicare PECOS enrollment system.

When is Jersey Rehab PA's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (New York, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Jersey Rehab PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 3 Medicare specialties reassign their Medicare billing to Jersey Rehab PA. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (3), Physical Medicine and Rehabilitation (2) and Interventional Pain Management (1). Of these, 3 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Jersey Rehab PA was last updated on October 23, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.