Active NPI
Sands Point Medical Rehab LLC
- Rehabilitation Clinic/Center
- College Point, NY
National Provider Identifier
1871757088
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Clinic/Center
- License
- 201787
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134305311 | Other | NPI |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Physical Therapist
- Elmhurst, NY
- NPI 1073623989
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.