Organization Active NPI

Ultimate Health Outcomes Inc

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • New Hyde Park, NY
National Provider Identifier
1720066384
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy code 261QR0401X
License
2912201R Issued in NY
Legal business name
ULTIMATE HEALTH OUTCOMES INC
Practice address
2343 New Hyde Park Rd
New Hyde Park, NY 11040
Phone
(516) 437-7236
Fax
(516) 437-7237
NPI assigned
Jan 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Richard Markx
Title
President
Phone
(516) 437-7236

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Comprehensive Outpatient Rehabilitation Facility (CORF) 261QR0401X 2912201R NY Primary

Addresses

Primary practice location

2343 New Hyde Park Rd
New Hyde Park, NY 11040

Mailing address

2343 New Hyde Park Rd
New Hyde Park, NY 11040
Phone (516) 437-7236

Other identifiers 1

IdentifierTypeStateIssuer
2441532MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Comprehensive outpatient rehabilitation facility certification: CCN 334530

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
ULTIMATE HEALTH OUTCOMES
Certification status
Active
Provider type (POS)
Comprehensive outpatient rehabilitation facility
Participating since
Oct 2, 2003
Last certification
Jul 24, 2013
Ownership / control type
Proprietary
Facility address
2343 New Hyde Park Road
New Hyde Park, NY 11040

National Provider Directory

National Provider Directory

Locations

125 Kennedy Dr
Hauppauge, NY 11788
Phone (631) 951-0040

125 Kennedy Dr
#2
Hauppauge, NY 11788
Phone (516) 437-7236

NPI Registry JSON

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

{
    "created_epoch": "1136332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720066384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2343 NEW HYDE PARK RD",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "11040",
            "telephone_number": "516-437-7236",
            "fax_number": "516-437-7237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2343 NEW HYDE PARK RD",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "11040",
            "telephone_number": "516-437-7236",
            "fax_number": "516-437-7237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ULTIMATE HEALTH OUTCOMES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MARKX",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-437-7236",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": "NY",
            "license": "2912201R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2441532",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Hyde Park, NY

Sources for this page

Verify at the official NPI Registry.