Advanced Rehabilitation Medicine PLLC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

ADVANCED REHABILITATION MEDICINE PLLC

Practice address

200 Belle Terre Rd
Suite E140
Port Jefferson, NY 11777

Phone

(631) 474-6879

Fax

(631) 474-6448

NPI assigned

Nov 1, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Carolyn L Fanelli

Title

Practice Manager

Phone

(631) 474-6049

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jennifer Semel-Concepcion

  • Physical Medicine & Rehabilitation Physician
  • Washington, DC
  • NPI 1104827674
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1063590065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 BELLE TERRE RD",
            "address_2": "SUITE E140",
            "city": "PORT JEFFERSON",
            "state": "NY",
            "postal_code": "11777",
            "telephone_number": "631-474-6879",
            "fax_number": "631-474-6448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 BELLE TERRE RD",
            "address_2": "SUITE E140",
            "city": "PORT JEFFERSON",
            "state": "NY",
            "postal_code": "11777",
            "telephone_number": "631-474-6879",
            "fax_number": "631-474-6448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED REHABILITATION MEDICINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FANELLI",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "631-474-6049"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02289747",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Louanne E Abelquist, LMT
• Mohamad H Abouzeid, M.D.
• Connor Abramowicz, DO
• Advanced Gastroenterology and Endoscopy, P.C.
• Advanced Laparoscopic Bariatric and General Surgery
• Advanced Rehabilitation Medicine PLLC.
• Ashish Agarwala, D.O
• Arif Ahmad, MD
• Omar Syed Ahmad, MD
• Mohamed Osman Ahmed

• Physical Medicine & Rehabilitation Physician in Port Jefferson, NY
• Providers in Port Jefferson, NY by specialty
• Physical Medicine & Rehabilitation Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.