Waddington Rehab Center LLC

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

WADDINGTON REHAB CENTER LLC

Practice address

701 Penn Ave
New Brighton, PA 15066-1362

Phone

(724) 483-4282

Fax

(724) 483-4078

NPI assigned

Mar 15, 2022

Organization subpart

No

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

Authorized official

Name

Samantha Moux

Title

Credentialing Manager

Phone

(724) 483-4282

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Tax ID family

Waddington Rehab Center LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Waddington Rehab Center LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Pittsburgh, PA
  • NPI 1780235929
  NPD tax ID

Locations

Practitioners 1

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

• Arif M Rafi, M.D.

  • Anesthesiology Physician
  • Monroeville, PA
  • NPI 1760590640
  NPD

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

{
    "created_epoch": "1647302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647302400000",
    "number": "1972251395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 STOOPS DR STE 240",
            "city": "MONONGAHELA",
            "state": "PA",
            "postal_code": "150633553",
            "telephone_number": "724-483-4282",
            "fax_number": "724-453-4078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 PENN AVE",
            "city": "NEW BRIGHTON",
            "state": "PA",
            "postal_code": "150661362",
            "telephone_number": "724-483-4282",
            "fax_number": "724-483-4078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WADDINGTON REHAB CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-15",
        "last_updated": "2022-03-15",
        "certification_date": "2022-03-15",
        "status": "A",
        "authorized_official_last_name": "MOUX",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "724-483-4282"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103789549002",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "samanthamoux@yahoo.com",
            "affiliation": "N",
            "endpointDescription": "business email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "100 Stoops Dr Ste 240",
            "city": "Monongahela",
            "state": "PA",
            "country_code": "US",
            "postal_code": "150633553",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jason R Tran, PHARMD
• Tri-State Medical Group, Inc
• Marianne Louise Turner, RN
• Joan Louise Vanalen, PT
• Venous Systems Inc
• WBK Healthcare Services LLC
• Laura Lynn Wilhelm
• Rashid Williams
• Christie Ann Yurisic

• Substance Use Disorder Rehabilitation Clinic/Center in New Brighton, PA
• Providers in New Brighton, PA by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2022; 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.