Organization Active NPI

Medaid, Inc.

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • New Castle, PA
National Provider Identifier
1538374665
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy code 261QR0401X
License
OC006255L Issued in PA
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0018780010001MedicaidPA

Other names 1

  • CORA Rehabilitation Clinics New Castle Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.