92 BRICK ROAD OPERATING COMPANY LLC; NPI #1598711970

Contact Information

92 BRICK ROAD OPERATING COMPANY LLC

92 BRICK RD
MARLTON, NJ 08053-2177

Phone: 856-988-8778
Fax: 856-988-6901
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Rehabilitation Hospital	283X00000X	A0[7]	Hospital-Rehabilitation (PPS excluded)

Indicates primary specialty

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NPI Profile & details for 92 BRICK ROAD OPERATING COMPANY LLC

NPI Number 1598711970

LBN Legal business name 92 BRICK ROAD OPERATING COMPANY LLC

Authorized official BRAD HOLLINGER - (PRESIDENT/CEO)

Entity Organization

Organization subpart ¹ No

Enumeration date 05/26/2006

Last updated 07/19/2013 - About 13 years ago

Identifiers

NJ	License #	22252
NJ	Medicaid	0001309
NJ	Other	AETNA BLUE BELL	2784259
NJ	Other	7828294	AETNA GOLDEN MEDICARE
NJ	Other	001060	AMERIHEALTH
NJ	Other	0001060000	AMERIHEALTH KEYSTONE
NJ	Other	313032	FEDERAL BLUE CROSS
NJ	Other	313032	HORIZON BLUE CROSS
NJ	Other	313032	HORIZON CASUALTY
NJ	Other	313032	HORIZON MERCY
NJ	Other	313032	HORIZON NATIONAL
NJ	Other	313032	HORIZON NJ PLUS HMO
NJ	Other	313032	HORIZON TRADITIONAL PPO

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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92 BRICK ROAD OPERATING COMPANY LLC

Contact Information

Specialty

Rehabilitation Hospital

NPI Profile & details for 92 BRICK ROAD OPERATING COMPANY LLC

Reviews for 92 BRICK ROAD OPERATING COMPANY LLC