Organization Active NPI

Advanced Rehab Medical Services, P.C.

  • Physical Medicine & Rehabilitation Physician
  • Brentwood, NY
National Provider Identifier
1508886896
Registry record updated Apr 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
ADVANCED REHAB MEDICAL SERVICES, P.C.
Practice address
1247 Suffolk Ave
Suite 4
Brentwood, NY 11717-4518
Phone
(718) 265-9914
Fax
(718) 265-9219
NPI assigned
Jul 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2008

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

Authorized official

Name
Dr. Jean Futoran, M.D.NPI 1063445153
Title
President
Phone
(718) 926-2223

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)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X Primary

Addresses

Primary practice location

1247 Suffolk Ave
Suite 4
Brentwood, NY 11717-4518

Mailing address

PO Box 195
Roslyn Heights, NY 11577-0195
Phone (718) 265-9914

Other identifiers 1

IdentifierTypeStateIssuer
06783OtherNYGHI MEDICARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041217000870 NY Part B Supplier - Clinic/Group Practice 4880651165 Receives reassigned benefits from 1 practitioner
Practice locations: Brentwood, NY; Hauppauge, NY

National Provider Directory

National Provider Directory

Locations

652 Suffolk Ave
Ste 112
Brentwood, NY 11717
Phone (631) 273-2994

740 Veterans Memorial Hwy
Ste 202
Hauppauge, NY 11788
Phone (631) 265-2225

49 Berry Hill Rd
Syosset, NY 11791
Phone (516) 921-3282

Practitioners & affiliated clinicians

Practitioners 2

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": "1153353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207699200000",
    "number": "1508886896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 195",
            "city": "ROSLYN HEIGHTS",
            "state": "NY",
            "postal_code": "115770195",
            "telephone_number": "718-265-9914",
            "fax_number": "516-625-5553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1247 SUFFOLK AVE",
            "address_2": "SUITE 4",
            "city": "BRENTWOOD",
            "state": "NY",
            "postal_code": "117174518",
            "telephone_number": "718-265-9914",
            "fax_number": "718-265-9219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED REHAB MEDICAL SERVICES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-20",
        "last_updated": "2008-04-09",
        "status": "A",
        "authorized_official_last_name": "FUTORAN",
        "authorized_official_first_name": "JEAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-926-2223",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI MEDICARE",
            "identifier": "06783",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brentwood, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2008; 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.