Advanced Rehabilitation Medicine PLLC.

Primary specialty

Rehabilitation PractitionerTaxonomy code 225400000X

Legal business name

ADVANCED REHABILITATION MEDICINE PLLC.

Practice address

200 Belle Terre Rd
Suite E140
Port Jefferson, NY 11777-1928

Phone

(631) 474-6879

Fax

(631) 474-6448

NPI assigned

Oct 13, 2006

Last updated

Jan 21, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Carolyn L. Fanelli

Title

Practice Manager

Phone

(631) 474-6049

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Patricia Ting Tan, M.D.

  • Pediatric Rehabilitation Medicine Physician
  • Baldwin, NY
  • NPI 1821086737
  NPD (past)

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264032000000",
    "number": "1598855058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 BELLE TERRE RD",
            "address_2": "SUITE E140",
            "city": "PORT JEFFERSON",
            "state": "NY",
            "postal_code": "117771928",
            "telephone_number": "631-474-6879",
            "fax_number": "631-474-6448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 BELLE TERRE RD",
            "address_2": "SUITE E140",
            "city": "PORT JEFFERSON",
            "state": "NY",
            "postal_code": "117771928",
            "telephone_number": "631-474-6879",
            "fax_number": "631-474-6448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED REHABILITATION MEDICINE PLLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-13",
        "last_updated": "2010-01-21",
        "status": "A",
        "authorized_official_last_name": "FANELLI",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "631-474-6049"
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02289747",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mohamad H Abouzeid, M.D.
• Connor Abramowicz, DO
• Advanced Gastroenterology and Endoscopy, P.C.
• Advanced Laparoscopic Bariatric and General Surgery
• Advanced Rehabilitation Medicine PLLC
• Ashish Agarwala, D.O
• Arif Ahmad, MD
• Omar Syed Ahmad, MD
• Mohamed Osman Ahmed
• Theresa Aiello, NP

• Rehabilitation Practitioner in Port Jefferson, NY
• Providers in Port Jefferson, NY by specialty
• Rehabilitation Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2010; 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.