Active NPI
Ultimate Health Outcomes Inc
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- New Hyde Park, NY
National Provider Identifier
1720066384
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- License
- 2912201R
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2441532 | Medicaid | NY |
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 DirectoryLocations
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.