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

Newark Rehabilitation Center PA

Organization Interventional Pain Medicine Physician · NPI 1366686610

Newark Rehabilitation Center PA is an Interventional Pain Medicine Physician in Newark, New Jersey. Licensed in New Jersey. Registered with an NPI since 2009.

Licensed in
NJ
In the registry since
2009
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

638 Mount Prospect Ave
Newark, NJ 07104-3110
Phone: (973) 481-4040
Fax: (973) 481-1338
Show map & directions

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

Specialties & licences

Interventional Pain Medicine Physician (primary) Taxonomy 208VP0014X · Licence MA36270 (NJ)

Record details

NPI number1366686610
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jose Colon — President · (973) 481-4040
NPI enumeratedApril 29, 2009
Last updated in NPPESApril 29, 2009
Mailing address638 Mount Prospect Ave, Newark, NJ 07104-3110

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