OrganizationActiveAccepts Medicare
Dynamic Health Rehabilitation Center PC
NPI 1588077705 · Specialist · Fair Lawn, NJ
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Provider details
- NPI number
- 1588077705
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Grigory Shtender, President(201) 791-7771
- License
- 25MA07870200 (NJ)
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(75/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
31-00 Broadway
1 St Floor
Fair Lawn, NJ 07410-3963
Phone: (201) 791-7771
Fax: (201) 791-7337
Street-level locationGet directions
Mailing address
31-00 Broadway
Fair Lawn, NJ 07410
Registry dates
- Enumerated
- 2014-06-05
- Last updated
- 2014-06-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.