Organization Active NPI

Children'S Rehabilitation Center, Inc.

Doing business as Elizabeth Seton Children's Rehabilitation Center

  • Clinic/Center
  • White Plains, NY
National Provider Identifier
1316279847
Registry record updated Jul 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
5902212R Issued in NY
Legal business name
CHILDREN'S REHABILITATION CENTER, INC.
Doing business as
Elizabeth Seton Children's Rehabilitation Center
Practice address
317 North St
White Plains, NY 10605-2209
Phone
(914) 597-4100
Fax
(914) 597-4012
NPI assigned
Feb 9, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2023

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

Authorized official

Name
M. Carla Perruccio
Title
Cfo
Phone
(914) 294-6128

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X
Clinic/Center 261Q00000X 5902212R NY Primary

Addresses

Primary practice location

317 North St
White Plains, NY 10605-2209

Mailing address

317 North St
White Plains, NY 10605-2209
Phone (914) 597-4100

Other identifiers 1

IdentifierTypeStateIssuer
03217705MedicaidNY

Other names 1

  • Elizabeth Seton Children's Rehabilitation Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110217000413 NY Part B Supplier - Clinic/Group Practice 3274714753 Receives reassigned benefits from 6 practitioners
Practice locations: White Plains, NY

National Provider Directory

National Provider Directory
Tax ID family
Children'S Rehabilitation Center Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Practitioners & affiliated clinicians

Practitioners 6

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

NPI Registry JSON

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

{
    "created_epoch": "1265673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689638400000",
    "number": "1316279847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 NORTH ST",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106052209",
            "telephone_number": "914-597-4100",
            "fax_number": "914-597-4012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 NORTH ST",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106052209",
            "telephone_number": "914-597-4100",
            "fax_number": "914-597-4012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN'S REHABILITATION CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-09",
        "last_updated": "2023-07-18",
        "certification_date": "2023-07-03",
        "status": "A",
        "authorized_official_last_name": "PERRUCCIO",
        "authorized_official_first_name": "M. CARLA",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "914-294-6128"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NY",
            "license": "5902212R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03217705",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elizabeth Seton Children's Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jul 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.