CENTER FOR COGNITIVE REHABILITATION (NPI# 1184703738) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184703738 |
| Entity Type | Organization |
| Organization Name | CENTER FOR COGNITIVE REHABILITATION |
| Practice Address |
403 River Rd Fair Haven NJ 07704 |
| Practice Telephone | 7328426729 |
| Practice Fax Number | 7328427901 |
| Mailing Telephone | 7328426729 |
| Mailing Fax Number | 7328427901 |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2008-06-18 |
| Authorized Official Name | DR. JOHN PAUL SWIDRYK (PRESIDENT OWNER) |
| Authorized Official Telephone | 7328426729 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QA0401X |
Family Medicine Specialization: Addiction Medicine |
MA29119 | NJ | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003957879 | Center for Cognitive Rehabilitation | Clinical Neuropsychologist | 1276 Mcconnell Dr, Suite C, Decatur, GA 30033-3506 | 2007-02-12 |
| Street Address |
403 RIVER RD |
| City | FAIR HAVEN |
| State | NJ |
| Zip Code | 07704 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689656043 | John Paul Swidryk Sr. | Family Medicine | 403 River Rd, Fair Haven, NJ 07704-3029 | 2005-11-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831211499 | Gregory Paul Mcdermott | Chiropractor | 561 River Rd, Fair Haven, NJ 07704 | 2007-04-04 |
| 1669502324 | Lawrence Clifford Randolph | Psychologist | 68 Forman St, Fair Haven, NJ 07704 | 2007-03-06 |
| 1679757447 | Kathleen A Vilardi | Psychologist | 68 Forman St, Fair Haven, NJ 07704 | 2007-12-28 |
| 1336344365 | Pilot Mcdermott Inc | Chiropractor | 561 River Rd, Fair Haven, NJ 07704 | 2007-06-19 |
| 1174645741 | Kathleen Pilot | Chiropractor | 561 River Rd, Fair Haven, NJ 07704 | 2007-04-04 |
| 1457426728 | Kyra Astrid Becker | Social Worker | 623 River Rd, Fair Haven, NJ 07704 | 2006-11-22 |
| 1578857066 | Raymond Cogen | Internal Medicine | 72 Grange Ave, Fair Haven, NJ 07704-3004 | 2011-06-02 |
| 1629163456 | Michael Joseph Connolly | Dentist | 393a River Rd, Fair Haven, NJ 07704-3029 | 2006-10-04 |
| 1942413802 | Paul Ferguson | Dentist | 479 River Rd, Fair Haven, NJ 07704-3031 | 2007-05-08 |
| 1649447020 | Dorothy Medina Hoyt-rehm | Dentist | 479 River Rd, Fair Haven, NJ 07704-3031 | 2008-05-14 |
| Find all providers in zip 07704 | ||||
| Taxonomy Code | 207QA0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Addiction Medicine |
| A family medicine physician who specializes in the diagnosis and treatment of addictions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) was, but is no longer issued by the American Osteopathic Board of Family Physicians. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487141883 | Genesis Addiction and Behavioral Medicine, LLC | Family Medicine | 61 Spring St Ste 3, Newton, NJ 07860-2072 | 2018-04-20 |
| 1336497106 | Yolanda I Dagnino | Family Medicine | 39 Anderson Pkwy, Cedar Grove, NJ 07009-1111 | 2012-08-27 |
| 1386803989 | Emmanuel Nebechukwu Ekulide | Family Medicine | 43 Progress Street, Suburban Treatment Associates, Union, NJ 07083 | 2008-06-09 |
| 1467642736 | Affiliated Medical Service | Family Medicine | 25 E Front St, Keyport, NJ 07735-1562 | 2007-08-01 |
| 1467451823 | Lisa Ann Medvetz | Family Medicine | 1113 Hospital Dr, Suite 100, Willingboro, NJ 08046-1103 | 2005-07-19 |
| 1043825250 | Recovery Wellness Group | Family Medicine | 205 W Parkway Dr, Egg Harbor Township, NJ 08234-5105 | 2020-09-14 |
| 1215566393 | Live Life Now Health Group of Nj PC | Family Medicine | 309 Fellowship Rd Ste 200, Mount Laurel, NJ 08054-1234 | 2020-04-02 |
| 1790329662 | Spero Physicians of New Jersey, PC | Family Medicine | 927 N Main St, Pleasantville, NJ 08232-1451 | 2019-11-04 |
| 1215588447 | South Jersey Medical Associates | Family Medicine | 1580 Route 9 N, Cape May Court House, NJ 08210-1416 | 2019-09-29 |
| 1396303459 | Rodney C. Brunson, Do PC | Family Medicine | 201 Tilton Rd Ste 12, Northfield, NJ 08225-1247 | 2019-06-04 |
| Find all providers with the same taxonomy | ||||
| City | FAIR HAVEN |
| Zip Code | 07704 |
Please comment or provide details below to improve the information on CENTER FOR COGNITIVE REHABILITATION.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.