Organization Active NPI

New York Rehabilitative Services

  • Prosthetic/Orthotic Supplier
  • Valley Stream, NY
National Provider Identifier
1629258991
Registry record updated Mar 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
NEW YORK REHABILITATIVE SERVICES
Practice address
214 E Sunrise Hwy
Valley Stream, NY 11581-1315
Phone
(516) 239-0990
Fax
(516) 239-6555
NPI assigned
Nov 5, 2007
Last updated
Mar 12, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2018

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

Authorized official

Name
Michael NadataNPI 1316039464
Title
President
Phone
(516) 239-0990

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
Prosthetic/Orthotic Supplier 335E00000X NU Primary

Addresses

Primary practice location

214 E Sunrise Hwy
Valley Stream, NY 11581-1315

Mailing address

214 E Sunrise Hwy
Valley Stream, NY 11581-1315
Phone (516) 239-0990

Other identifiers 1

IdentifierTypeStateIssuer
02595480MedicaidNY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930007458 NY DME Supplier - Orthotic PersonnelDME Supplier - Prosthetic Personnel 9638386642 Practice locations: Valley Stream, NY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
New York Rehabilitative Services214 E Sunrise Hwy, Valley Stream, NY 11581-1315(516) 239-0990 Orthoses: Custom Fabricated|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf|Limb Prostheses|Diabetic Shoes and Inserts|Diabetic Shoes/Inserts - Custom|Lymphedema Compression Treatment Items Does not accept assignmentParticipating since Feb 5, 2004

National Provider Directory

National Provider Directory

Locations

214 E Sunrise Hwy
Valley Stream, NY 11581
Phone (516) 295-3355

Practitioners & affiliated clinicians

Practitioners 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1194220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520812800000",
    "number": "1629258991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 E SUNRISE HWY",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115811315",
            "telephone_number": "516-239-0990",
            "fax_number": "516-239-6555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 E SUNRISE HWY",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115811315",
            "telephone_number": "516-239-0990",
            "fax_number": "516-239-6555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW YORK REHABILITATIVE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-05",
        "last_updated": "2018-03-12",
        "status": "A",
        "authorized_official_last_name": "NADATA",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-239-0990"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02595480",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Valley Stream, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.