OrganizationActive
Pediatric Rehabilitation of North Jersey PC
NPI 1396897773 · Comprehensive Outpatient Rehabilitation Facility (CORF) · Wayne, NJ
Provider details
- NPI number
- 1396897773
- Entity type
- Organization
- Primary specialty
- Comprehensive Outpatient Rehabilitation Facility (CORF)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Marissa Muccio, President(973) 628-1300
- License
- 40QA00794200 (NJ)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
309 Black Oak Ridge Rd
Wayne, NJ 07470-6504
Phone: (973) 628-1300
Fax: (973) 628-0300
Approximate (ZIP-level) locationGet directions
Mailing address
309 Black Oak Ridge Rd
Wayne, NJ 07470-6504
Registry dates
- Enumerated
- 2007-01-17
- Last updated
- 2014-03-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.