Organization Active NPI

Physical Medicine & Rehabilitation SVCS. of Ny P.C.

  • Clinic/Center
  • Newburgh, NY
National Provider Identifier
1699813758
Registry record updated Jul 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
205-305 Issued in NY
Legal business name
PHYSICAL MEDICINE & REHABILITATION SVCS. OF NY P.C.
Practice address
1418 Route 300
Newburgh, NY 12550
Phone
(845) 566-4202
Fax
(845) 566-4238
NPI assigned
Feb 1, 2007
Last updated
Jul 14, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2008

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

Authorized official

Name
Orsuville Guiang Cabatu, MDNPI 1447398508
Title
Pres / Owner
Phone
(201) 456-1267

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 205-305 NY Primary

Addresses

Primary practice location

1418 Route 300
Newburgh, NY 12550

Mailing address

1418 Route 300
Newburgh, NY 12550
Phone (845) 566-4202

Other identifiers 1

IdentifierTypeStateIssuer
02212499MedicaidNY

National Provider Directory

National Provider Directory

Locations

1418 Route 300
Newburgh, NY 12550
Phone (845) 564-1418

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215993600000",
    "number": "1699813758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1418 ROUTE 300",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "12550",
            "telephone_number": "845-566-4202",
            "fax_number": "845-566-4238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1418 ROUTE 300",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "12550",
            "telephone_number": "845-566-4202",
            "fax_number": "845-566-4238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICAL MEDICINE & REHABILITATION SVCS. OF NY P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-01",
        "last_updated": "2008-07-14",
        "status": "A",
        "authorized_official_last_name": "CABATU",
        "authorized_official_first_name": "ORSUVILLE",
        "authorized_official_middle_name": "GUIANG",
        "authorized_official_title_or_position": "PRES / OWNER",
        "authorized_official_telephone_number": "201-456-1267",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NY",
            "license": "205-305",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02212499",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newburgh, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2008; 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.