NPIMap

Organization Active NPI

St.Charles Rehabilitation

  • Rehabilitation Hospital
  • Ronkonkoma, NY
National Provider Identifier
1831421700
Registry record updated Feb 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation HospitalTaxonomy code 283X00000X
License
031919 Issued in NY
Legal business name
ST.CHARLES REHABILITATION
Practice address
3279 Veterans Memorial Hwy
Ronkonkoma, NY 11779-7673
Phone
(631) 580-8720
NPI assigned
Feb 3, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2010

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

Authorized official

Name
Christopher Degen, DPT
Title
Physical Therapist
Phone
(631) 580-8720

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Hospital 283X00000X 031919 NY Primary

Addresses

Primary practice location

3279 Veterans Memorial Hwy
Ronkonkoma, NY 11779-7673

Mailing address

3279 Veterans Memorial Hwy
Ronkonkoma, NY 11779-7673
Phone (631) 580-8720

National Provider Directory

National Provider Directory
Tax ID family
St Charles Hosp-Cardio Pu9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3279 Veterans Memorial Hwy
Ronkonkoma, NY 11779
Phone (631) 580-8720

NPI Registry JSON

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

{
    "created_epoch": "1265155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265155200000",
    "number": "1831421700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3279 VETERANS MEMORIAL HWY",
            "city": "RONKONKOMA",
            "state": "NY",
            "postal_code": "117797673",
            "telephone_number": "631-580-8720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3279 VETERANS MEMORIAL HWY",
            "city": "RONKONKOMA",
            "state": "NY",
            "postal_code": "117797673",
            "telephone_number": "631-580-8720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST.CHARLES REHABILITATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-03",
        "last_updated": "2010-02-03",
        "status": "A",
        "authorized_official_last_name": "DEGEN",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "631-580-8720",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "283X00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Hospital",
            "state": "NY",
            "license": "031919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ronkonkoma, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2010; 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.