NPIMap

Organization Active NPI

Catholic Health System

  • Rehabilitation Hospital Unit
  • Kenmore, NY
National Provider Identifier
1376087072
Registry record updated Dec 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Hospital UnitTaxonomy code 273Y00000X
License
004961-1 Issued in NY
Legal business name
CATHOLIC HEALTH SYSTEM
Practice address
1495 Military Rd
Kenmore, NY 14217-1339
Phone
(716) 447-6037
Fax
(716) 447-6575
NPI assigned
Dec 14, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2016

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

Authorized official

Name
Mr. Kevin Gibson
Title
Director of Rehab Services
Phone
(716) 923-4832

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Hospital Unit 273Y00000X 004961-1 NY Primary

Addresses

Primary practice location

1495 Military Rd
Kenmore, NY 14217-1339

Mailing address

1495 Military Rd
Kenmore, NY 14217-1339
Phone (716) 447-6037

Other identifiers 1

IdentifierTypeStateIssuer
1770598104MedicaidNY

National Provider Directory

National Provider Directory
Tax ID family
Ellicott Creek Medical3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1481673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481673600000",
    "number": "1376087072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1495 MILITARY RD",
            "city": "KENMORE",
            "state": "NY",
            "postal_code": "142171339",
            "telephone_number": "716-447-6037",
            "fax_number": "716-447-6575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1495 MILITARY RD",
            "city": "KENMORE",
            "state": "NY",
            "postal_code": "142171339",
            "telephone_number": "716-447-6037",
            "fax_number": "716-447-6575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CATHOLIC HEALTH SYSTEM",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-14",
        "last_updated": "2016-12-14",
        "status": "A",
        "authorized_official_last_name": "GIBSON",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "DIRECTOR OF REHAB SERVICES",
        "authorized_official_telephone_number": "716-923-4832",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "273Y00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Unit",
            "state": "NY",
            "license": "004961-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1770598104",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kenmore, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2016; 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.