NPIMap

Organization Active NPI

St Charles Hospital Corp

  • Rehabilitation Hospital Unit
  • Port Jefferson, NY
National Provider Identifier
1225097652
Registry record updated May 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Hospital UnitTaxonomy code 273Y00000X
Legal business name
ST CHARLES HOSPITAL CORP
Practice address
200 Belle Terre Road
Port Jefferson, NY 11714-5713
Phone
(631) 474-6000
NPI assigned
Mar 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2026

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

Authorized official

Name
James O'Connor
Title
President
Phone
(631) 474-6600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Hospital Unit 273Y00000X Primary

Addresses

Primary practice location

200 Belle Terre Road
Port Jefferson, NY 11714-5713

Mailing address

200 Belle Terre Rd
Port Jefferson, NY 11777-1968
Phone (631) 474-6600

Other names 2

  • St. Charles Hospital Doing business as
  • St. Charles Hospital and Rehabilitation Center Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090408000323 NY Part A Provider - Hospital 6103733050 Practice locations: Port Jefferson, NY

Hospital certification: CCN 33T246

Legal name
ST CHARLES HOSPITAL CORP
Organization structure
CorporationNon-profit
Incorporated
Sep 30, 1958 in NY
Enrollment address
200 Belle Terre Rd
Port Jefferson, NY 11777-1928
Hospital Rehabilitation Unit
Hospital subgroups
Rehabilitation

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Inpatient rehabilitation facility

Medicare Care Compare
Listed as
St Charles HospitalCCN 33T246
Ownership
Non-profit
Certified
Jan 1, 1985

National Provider Directory

National Provider Directory
Tax ID family
St Charles Hosp-Cardio Pu9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 25

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Anthony F Marano Individual Corporate DirectorBoard Member Apr 1, 2014
Stephen F McLouglin Individual Corporate DirectorBoard Member Apr 1, 2014
Alan Guerci Individual Corporate OfficerPresident and Ceo Jul 1, 2013
Jerome M Poller Individual Corporate DirectorBoard Member Jan 1, 2008
Robert O Morrissey Individual Corporate DirectorBoard Member Apr 1, 2014
John Wagner Individual Corporate DirectorBoard Member Apr 1, 2014
Ronald Weingartner Individual Corporate OfficerVP Administration Jan 1, 2007
W-2 Managing EmployeeVP Administration Jan 1, 2007
Christopher S Pascucci Individual Corporate DirectorBoard Member Apr 1, 2014
Brian R McGuire Individual Corporate DirectorBoard Member Apr 1, 2014
Thomas E Christman Individual Corporate DirectorBoard Member Apr 1, 2017
James O'Connor Individual Corporate OfficerPresident May 24, 2004
W-2 Managing EmployeePresident May 24, 2004
Peter P D'Angelo Individual Corporate DirectorBoard Member Apr 1, 2014
William Ward Individual Corporate DirectorBoard Member Jan 1, 2015
Virginia a Ewen Individual Corporate DirectorBoard Member Apr 1, 2014
John McCartney Individual Corporate DirectorBoard Member Jan 1, 2019
Frank L Kurre Individual Corporate DirectorBoard Member Apr 1, 2014
Salvatore F Sodano Individual Corporate DirectorBoard Member Jan 1, 2007
Peter J Dugandzic Individual Corporate DirectorBoard Member Apr 1, 2014
John W Francfort Individual Corporate DirectorBoard Member Jan 1, 2015
Catholic Health System of Long Island Inc Organization, Rockville Centre, NY Corporation, Non-profit Operational/Managerial Control Oct 24, 1997 100%
Robert Zuccaro Individual Corporate DirectorBoard Member Jan 1, 2016
Peter Quick Individual Corporate DirectorBoard Member Jan 1, 2017
Daniel T Rowe Individual Corporate DirectorBoard Member Apr 1, 2014
Robert Coughlan Individual Corporate DirectorBoard Member Jan 1, 2020
Kevin J Conway Individual Corporate DirectorBoard Member Apr 1, 2014

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 11

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 64

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 64

Affiliated clinicians 36

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 36

NPI Registry JSON

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

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779321600000",
    "number": "1225097652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 BELLE TERRE RD",
            "city": "PORT JEFFERSON",
            "state": "NY",
            "postal_code": "117771968",
            "telephone_number": "631-474-6600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 BELLE TERRE ROAD",
            "city": "PORT JEFFERSON",
            "state": "NY",
            "postal_code": "117145713",
            "telephone_number": "631-474-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST CHARLES HOSPITAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-23",
        "last_updated": "2026-05-21",
        "certification_date": "2026-05-21",
        "status": "A",
        "authorized_official_last_name": "O'CONNOR",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-474-6600"
    },
    "taxonomies": [
        {
            "code": "273Y00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Unit",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. Charles Hospital",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "St. Charles Hospital and Rehabilitation Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Port Jefferson, NY

Sources for this page

Verify at the official NPI Registry.