Organization Active NPI

Winifred Masterson Burke Rehabilitation Hospital

  • Rehabilitation Hospital
  • White Plains, NY
National Provider Identifier
1194793190
Registry record updated Nov 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation HospitalTaxonomy code 283X00000X
License
1046 Issued in NY
Legal business name
WINIFRED MASTERSON BURKE REHABILITATION HOSPITAL
Practice address
785 Mamaroneck Ave
White Plains, NY 10605-2523
Phone
(914) 597-2500
Fax
(914) 597-2760
NPI assigned
Mar 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2019

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

Authorized official

Name
Scott A Edelman
Title
Senior VP/Cfo
Phone
(914) 597-2277

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Hospital 283X00000X 1046 NY Primary
Rehabilitation Hospital 283X00000X

Addresses

Primary practice location

785 Mamaroneck Ave
White Plains, NY 10605-2523

Mailing address

785 Mamaroneck Ave
White Plains, NY 10605-2523
Phone (914) 597-2232

Other identifiers 1

IdentifierTypeStateIssuer
00258351MedicaidNY

Other names 1

  • Rehabilitation Hospital Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address amobilia@burke.org

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1141776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1573430400000",
    "number": "1194793190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "785 MAMARONECK AVE",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106052523",
            "telephone_number": "914-597-2232",
            "fax_number": "914-597-2787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "785 MAMARONECK AVE",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106052523",
            "telephone_number": "914-597-2500",
            "fax_number": "914-597-2760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINIFRED MASTERSON BURKE REHABILITATION HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-08",
        "last_updated": "2019-11-11",
        "status": "A",
        "authorized_official_last_name": "EDELMAN",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "SENIOR VP/CFO",
        "authorized_official_telephone_number": "914-597-2277"
    },
    "taxonomies": [
        {
            "code": "283X00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Hospital",
            "state": "NY",
            "license": "1046",
            "primary": true
        },
        {
            "code": "283X00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Hospital",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00258351",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "amobilia@burke.org",
            "affiliation": "N",
            "address_1": "785 Mamaroneck Ave",
            "city": "White Plains",
            "state": "NY",
            "country_code": "US",
            "postal_code": "106052523",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Rehabilitation Hospital",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Rehabilitation Hospital",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in White Plains, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2019; 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.