Active NPI
Medaid, Inc.
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- New Castle, PA
National Provider Identifier
1538374665
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- License
- OC006255L
- Legal business name
- MEDAID, INC.
- Doing business as
- CORA Rehabilitation Clinics New Castle
- Practice address
- 527 E Long Ave
New Castle, PA 16101-4843 - Phone
- (724) 654-4545
- NPI assigned
- May 11, 2007
- 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
- Mr. Mark Navyac, P.T.
- Title
- Clinic Manager
- Phone
- (724) 654-4545
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Comprehensive Outpatient Rehabilitation Facility (CORF) | 261QR0401X | OC006255L | PA | Primary |
Addresses
Primary practice location
527 E Long Ave
New Castle, PA 16101-4843
Mailing address
573 S Market St
New Wilmington, PA 16142-1307
Phone (724) 946-9631
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0018780010001 | Medicaid | PA |
Other names 1
- CORA Rehabilitation Clinics New Castle
National Provider Directory
National Provider DirectoryLocations
527 E Long Ave
New Castle, PA 16101
Phone (724) 654-4545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178841600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1538374665",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "573 S MARKET ST",
"city": "NEW WILMINGTON",
"state": "PA",
"postal_code": "161421307",
"telephone_number": "724-946-9631"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "527 E LONG AVE",
"city": "NEW CASTLE",
"state": "PA",
"postal_code": "161014843",
"telephone_number": "724-654-4545"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEDAID, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-11",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "NAVYAC",
"authorized_official_first_name": "MARK",
"authorized_official_title_or_position": "CLINIC MANAGER",
"authorized_official_telephone_number": "724-654-4545",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "P.T."
},
"taxonomies": [
{
"code": "261QR0401X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
"state": "PA",
"license": "OC006255L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0018780010001",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "CORA Rehabilitation Clinics New Castle",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in New Castle, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.