JERSEY REHABILITATION MEDICAL CLINIC PC
NPI 1629250634
General Practice in East Brunswick, NJ
About Jersey Rehabilitation Medical Clinic Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JERSEY REHABILITATION MEDICAL CLINIC PC (NPI 1629250634) is a healthcare organization registered as a general practice in East Brunswick, New Jersey and active in the NPI registry since November 2007. The organization lists Lu Han, Owner Doctor, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Other Identifiers 1
Group Practice 1
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 Rehabilitation Medical Clinic Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by February 28, 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.
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Jersey Rehabilitation Medical Clinic PC, which bills Medicare for the services this clinician delivers.
Clinician (1)
East Brunswick, NJ 08816
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 Rehabilitation Medical Clinic PC's NPI number?
The NPI number for Jersey Rehabilitation Medical Clinic PC is 1629250634. It was assigned to this organization in the NPPES registry on November 30, 2007.
Where is Jersey Rehabilitation Medical Clinic PC located?
Jersey Rehabilitation Medical Clinic PC is located at 620 Cranbury Road Suite 118, East Brunswick, NJ 08816. The listed phone number is (732) 390-8866.
What is Jersey Rehabilitation Medical Clinic PC's specialty?
The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.
Is Jersey Rehabilitation Medical Clinic PC enrolled in Medicare?
Yes. Jersey Rehabilitation Medical Clinic PC is registered in the Medicare PECOS enrollment system.
When is Jersey Rehabilitation Medical Clinic PC'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 Jersey, Clinic/Group Practice) is due for revalidation by February 28, 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 Rehabilitation Medical Clinic PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Physical Medicine and Rehabilitation) reassigns their Medicare billing to Jersey Rehabilitation Medical Clinic PC. 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. 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 Rehabilitation Medical Clinic PC was last updated on November 30, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Jersey Rehabilitation Medical Clinic Pc · NPI 1629250634
General Practice organization in East Brunswick, New Jersey. Organization record, active in the CMS NPPES registry since November 30, 2007.
## Identity
- **NPI:** 1629250634 (Entity type: Organization)
- **Enumerated:** November 30, 2007
- **Primary specialty:** General Practice · taxonomy 208D00000X
- **Organization subpart:** No
- **Authorized official:** Lu Han, OWNER DOCTOR
## Practice location
- **Address:** 620 CRANBURY ROAD, SUITE 118, East Brunswick, NJ 08816
- **Phone:** (732) 390-8866 · **Fax:** (732) 390-6550
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** February 28, 2027 (Non-DME Part B, New Jersey, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1 clinician (Physical Medicine and Rehabilitation) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 30, 2007
- **Other identifiers:** Medicare PIN 079314 (NJ)
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Source: [NPI Profile](https://npiprofile.com/npi/1629250634) · Data from the CMS NPPES public registry.