Organization Active NPI

Sands Point Medical Rehab LLC

  • Rehabilitation Clinic/Center
  • College Point, NY
National Provider Identifier
1871757088
Registry record updated Nov 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
License
201787 Issued in NY
Legal business name
SANDS POINT MEDICAL REHAB LLC
Practice address
12010 15TH Ave
Suite 6
College Point, NY 11356-1617
Phone
(718) 701-5949
Fax
(718) 701-5949
NPI assigned
Jul 16, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2013

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

Authorized official

Name
Randolph Rosarion
Title
Owner/President
Phone
(718) 701-5949

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X 201787 NY Primary

Addresses

Primary practice location

12010 15TH Ave
Suite 6
College Point, NY 11356-1617

Mailing address

12010 15TH Ave
Suite 6
College Point, NY 11356-1617
Phone (718) 701-5949

Other identifiers 1

IdentifierTypeStateIssuer
1134305311OtherNPI

National Provider Directory

National Provider Directory

Locations

123 W 7th St
Plainfield, NJ 07060
Phone (908) 754-2211

4024 76th St
Ste 1B
Elmhurst, NY 11373
Phone (718) 205-9020

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1216166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384992000000",
    "number": "1871757088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12010 15TH AVE",
            "address_2": "SUITE 6",
            "city": "COLLEGE POINT",
            "state": "NY",
            "postal_code": "113561617",
            "telephone_number": "718-701-5949",
            "fax_number": "718-701-5949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12010 15TH AVE",
            "address_2": "SUITE 6",
            "city": "COLLEGE POINT",
            "state": "NY",
            "postal_code": "113561617",
            "telephone_number": "718-701-5949",
            "fax_number": "718-701-5949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDS POINT MEDICAL REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-16",
        "last_updated": "2013-11-21",
        "status": "A",
        "authorized_official_last_name": "ROSARION",
        "authorized_official_first_name": "RANDOLPH",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "718-701-5949"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "NY",
            "license": "201787",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1134305311",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in College Point, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2013; 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.