Rehabilitation Associate of Li Physical Medicine PLLC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

185629-1 Issued in NY

Legal business name

REHABILITATION ASSOCIATE OF LI PHYSICAL MEDICINE PLLC

Practice address

3601 Hempstead Tpke Ste 503
Levittown, NY 11756-1376

Phone

(516) 864-0557

Fax

(516) 864-0559

NPI assigned

Jan 26, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Walter James Gaudino, M.D.NPI 1346218930

Title

Owner

Phone

(516) 864-0557

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 2

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.

• Walter James Gaudino, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Levittown, NY
  • NPI 1346218930
  Medicare reassignment Authorized official
• Diane Biele, MD

  • Internal Medicine Physician
  • Garden City, NY
  • NPI 1437355849
  Medicare reassignment

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

{
    "created_epoch": "1422230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715817600000",
    "number": "1619367844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3601 HEMPSTEAD TPKE STE 503",
            "city": "LEVITTOWN",
            "state": "NY",
            "postal_code": "117561376",
            "telephone_number": "516-864-0557",
            "fax_number": "516-864-0559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 HEMPSTEAD TPKE STE 503",
            "city": "LEVITTOWN",
            "state": "NY",
            "postal_code": "117561376",
            "telephone_number": "516-864-0557",
            "fax_number": "516-864-0559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REHABILITATION ASSOCIATE OF LI PHYSICAL MEDICINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-26",
        "last_updated": "2024-05-16",
        "certification_date": "2024-05-16",
        "status": "A",
        "authorized_official_last_name": "GAUDINO",
        "authorized_official_first_name": "WALTER",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-864-0557",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "185629-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01258511",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Muhammed Rakibur Rahman
• Siras Ramos
• Erin Randazzo, D.C.
• Jaimie Ravit, RD
• Meredith Joy Regan, MSED
• Angela Marie Reif, M.S, CCC-SLP TSSLD
• Melissa Reilly, LMSW
• Marion Lynn Renda, RD, CDN
• Fabiola Rene, RN
• Reyes Physical Therapy Services, P.C.

• Physical Medicine & Rehabilitation Physician in Levittown, NY
• Providers in Levittown, NY by specialty
• Physical Medicine & Rehabilitation Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2024; 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.