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

Pediatric Rehabilitation of North Jersey PC

Organization Comprehensive Outpatient Rehabilitation Facility (CORF) · NPI 1396897773

Pediatric Rehabilitation of North Jersey PC is a Comprehensive Outpatient Rehabilitation Facility (CORF) in Wayne, New Jersey. Licensed in New Jersey. Registered with an NPI since 2007.

Licensed in
NJ
In the registry since
2007
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

309 Black Oak Ridge Rd
Wayne, NJ 07470-6504
Phone: (973) 628-1300
Fax: (973) 628-0300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Comprehensive Outpatient Rehabilitation Facility (CORF) (primary) Taxonomy 261QR0401X · Licence 40QA00794200 (NJ)

Record details

NPI number1396897773
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Marissa Muccio — President · (973) 628-1300
NPI enumeratedJanuary 17, 2007
Last updated in NPPESMarch 18, 2014
Mailing address309 Black Oak Ridge Rd, Wayne, NJ 07470-6504

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