Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ivyrehab Network Inc

Organization Physical Medicine & Rehabilitation Physician · NPI 1992364236

Ivyrehab Network Inc is a Physical Medicine & Rehabilitation Physician in Fair Lawn, New Jersey. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

28-12 Broadway
Fair Lawn, NJ 07410-3924
Phone: (201) 475-8482
Fax: (201) 475-8139
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X

Record details

NPI number1992364236
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Rucker — Ceo · (914) 777-8700
NPI enumeratedJune 11, 2019
Last updated in NPPESAugust 12, 2022
Certification dateAugust 12, 2022
Mailing address1311 Mamaroneck Ave Ste 140, White Plains, NY 10605-5224

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