Organization Active NPI

Lighthouse Medical Rehabilitation P.C.

  • Physical Medicine & Rehabilitation Physician
  • Westbury, NY
National Provider Identifier
1710323738
Registry record updated Oct 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
197595 Issued in NY
Legal business name
LIGHTHOUSE MEDICAL REHABILITATION P.C.
Practice address
355 Post Ave Ste 104
Westbury, NY 11590-2265
Phone
(516) 333-3253
Fax
(516) 333-8452
NPI assigned
May 16, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2025

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

Authorized official

Name
Kwan-Iong L Jakobsen
Title
Medical Director
Phone
(516) 333-3253

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X 197595 NY Primary

Addresses

Primary practice location

355 Post Ave Ste 104
Westbury, NY 11590-2265

Mailing address

355 Post Ave Ste 104
Westbury, NY 11590-2265
Phone (516) 333-3253

National Provider Directory

National Provider Directory

Locations

355 Post Ave
Ste 104
Westbury, NY 11590
Phone (516) 333-3253

NPI Registry JSON

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

{
    "created_epoch": "1368662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761696000000",
    "number": "1710323738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "355 POST AVE STE 104",
            "city": "WESTBURY",
            "state": "NY",
            "postal_code": "115902265",
            "telephone_number": "516-333-3253",
            "fax_number": "516-333-8452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 POST AVE STE 104",
            "city": "WESTBURY",
            "state": "NY",
            "postal_code": "115902265",
            "telephone_number": "516-333-3253",
            "fax_number": "516-333-8452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIGHTHOUSE MEDICAL REHABILITATION P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-16",
        "last_updated": "2025-10-29",
        "certification_date": "2025-10-29",
        "status": "A",
        "authorized_official_last_name": "JAKOBSEN",
        "authorized_official_first_name": "KWAN-IONG",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "516-333-3253"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "197595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westbury, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2025; 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.