Active NPI
Merit Rehab Physical Therapy Assistant PLLC
- Rehabilitation Clinic/Center
- Staten Island, NY
National Provider Identifier
1245841261
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Clinic/Center
- Legal business name
- MERIT REHAB PHYSICAL THERAPY ASSISTANT PLLC
- Practice address
- 75 Ludlow St
Staten Island, NY 10312-1923 - Phone
- (212) 365-0551
- NPI assigned
- Aug 13, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Samuel Samuel Khalil
- Title
- Member
- Phone
- (212) 365-0551
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Clinic/Center | 261QR0400X | Primary |
Addresses
Primary practice location
75 Ludlow St
Staten Island, NY 10312-1923
Mailing address
75 Ludlow St
Staten Island, NY 10312-1923
Phone (212) 365-0551
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Rehabilitation Occupational Therapist
- Staten Island, NY
- NPI 1528387800
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1597276800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1597363200000",
"number": "1245841261",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "75 LUDLOW ST",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103121923",
"telephone_number": "212-365-0551"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "75 LUDLOW ST",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103121923",
"telephone_number": "212-365-0551"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MERIT REHAB PHYSICAL THERAPY ASSISTANT PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-08-13",
"last_updated": "2020-08-14",
"certification_date": "2020-08-14",
"status": "A",
"authorized_official_last_name": "KHALIL",
"authorized_official_first_name": "SAMUEL",
"authorized_official_middle_name": "SAMUEL",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "212-365-0551"
},
"taxonomies": [
{
"code": "261QR0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Staten Island, NY
- Janet Lee Meresmancohen, M.S. SPECIAL ED
- Tamara Merhej, MD
- Meridian Care Occupational Therapy PC
- Christine Merillo, SPECIAL EDUCATION
- Michelle Ann Merindino, LMHC
- Merit Rehab Physical Therapy Assistant PLLC
- John Anthony Merlino, D.P.M.
- Lina Rita Merlino, MD
- Phyllis Gina Merlino, DDS
- Phyllis Nancy Merlino, DPM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 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.