Active NPI
Action Medical and Rehab PC
- Physical Medicine & Rehabilitation Physician
- East Setauket, NY
National Provider Identifier
1366935397
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- Legal business name
- ACTION MEDICAL AND REHAB PC
- Practice address
- 3400 Nesconset Hwy Ste 104
East Setauket, NY 11733-3327 - Phone
- (316) 898-6626
- NPI assigned
- Jun 13, 2018
- 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
- Dr. Edward Tanza
- Title
- Ceo
- Phone
- (904) 654-2410
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | Primary |
Addresses
Primary practice location
3400 Nesconset Hwy Ste 104
East Setauket, NY 11733-3327
Mailing address
665 Treehouse Cir
Saint Augustine, FL 32095-6837
Phone (904) 654-2410
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528848000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1528848000000",
"number": "1366935397",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "665 TREEHOUSE CIR",
"city": "SAINT AUGUSTINE",
"state": "FL",
"postal_code": "320956837",
"telephone_number": "904-654-2410"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3400 NESCONSET HWY STE 104",
"city": "EAST SETAUKET",
"state": "NY",
"postal_code": "117333327",
"telephone_number": "316-898-6626"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ACTION MEDICAL AND REHAB PC",
"organizational_subpart": "NO",
"enumeration_date": "2018-06-13",
"last_updated": "2018-06-13",
"status": "A",
"authorized_official_last_name": "TANZA",
"authorized_official_first_name": "EDWARD",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "904-654-2410",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in East Setauket, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.