ADVANCED REHABILITATION MEDICINE PLLC (NPI# 1063590065) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063590065 |
| Entity Type | Organization |
| Organization Name | ADVANCED REHABILITATION MEDICINE PLLC |
| Practice Address |
200 Belle Terre Rd Suite E140 Port Jefferson NY 11777 |
| Practice Telephone | 6314746879 |
| Practice Fax Number | 6314746448 |
| Mailing Telephone | 6314746879 |
| Mailing Fax Number | 6314746448 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | CAROLYN L FANELLI (PRACTICE MANAGER) |
| Authorized Official Telephone | 6314746049 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208100000X | Physical Medicine & Rehabilitation | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02289747 | 05 |
| Street Address |
200 BELLE TERRE RD SUITE E140 |
| City | PORT JEFFERSON |
| State | NY |
| Zip Code | 11777 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346243987 | Stacey Luise Tursi | Nurse Practitioner | 200 Belle Terre Rd, Dept. of Nursing Education, Port Jefferson, NY 11777 | 2005-05-27 |
| 1114555331 | Justine Morgan | Occupational Therapist | 200 Belle Terre Rd, Port Jefferson, NY 11777-1968 | 2020-04-01 |
| 1013543503 | Michelle Wah | Student in an Organized Health Care Education/Training Program | 200 Belle Terre Rd, Port Jefferson, NY 11777-1928 | 2020-03-17 |
| 1285266130 | James Joseph Cassin | Student in an Organized Health Care Education/Training Program | 200 Belle Terre Rd, Port Jefferson, NY 11777-1928 | 2020-02-09 |
| 1518599752 | Yigit Ali Gol | Student in an Organized Health Care Education/Training Program | 200 Belle Terre Rd, Port Jefferson, NY 11777-1928 | 2020-02-05 |
| 1043855596 | Robert Kennedy Awadallah | Pharmacist | 200 Belle Terre Rd, Port Jefferson, NY 11777-1968 | 2019-11-07 |
| 1356983449 | Joseph Francis Byrne | Physician Assistant | 200 Belle Terre Rd, Port Jefferson, NY 11777-1928 | 2019-10-10 |
| 1871149740 | Alyssa Dawn Morando | Dietitian, Registered | 200 Belle Terre Rd, Port Jefferson, NY 11777-1928 | 2019-08-15 |
| 1912562133 | Cassandra Jones | Anesthesiology | 200 Belle Terre Rd, Port Jefferson, NY 11777-1928 | 2019-05-02 |
| 1235697400 | Joshua Jihun Sok | Student in an Organized Health Care Education/Training Program | 200 Belle Terre Rd, Port Jefferson, NY 11777-1928 | 2019-03-06 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568088615 | Aqsa Ashraf | Student in an Organized Health Care Education/Training Program | 75 N Country Road Mather Hospital Internal Medicine Res, Port Jefferson, NY 11777 | 2020-06-24 |
| 1366068975 | Manal Ahmad | Student in an Organized Health Care Education/Training Program | 75 N County Rd, Level 2 Cmo Suite, Internal Medicine Re, Mather Hospital, Port Jefferson, NY 11777 | 2020-06-19 |
| 1639794555 | Umair Ahmad Ansari | Student in an Organized Health Care Education/Training Program | 75 N Country Road Mother Hospital, Internal Medicine Re, Level 2 - Cmd Suite, Port Jefferson, NY 11777 | 2020-06-16 |
| 1578188132 | Manasi Sule | Student in an Organized Health Care Education/Training Program | 75 N Country Rd, Mather Hospital, Internal Medicine Res, Port Jefferson, NY 11777 | 2020-06-10 |
| 1508480716 | Imona Subedi | Student in an Organized Health Care Education/Training Program | 75 N Country Road, Level 2 - Cmo Suite, Mather Hospital Internal Medicine Residency Program, Port Jefferson, NY 11777 | 2020-06-03 |
| 1184252108 | Romana Imtiaz Syed | Student in an Organized Health Care Education/Training Program | Liza M Dominioni,mather Hospital,internal Medicine, Residency Program,level 2-cmo Suite,75 N Country Rd, Port Jefferson, NY 11777 | 2020-03-27 |
| 1649807348 | Mustafa Mohammed Abdulsada | Student in an Organized Health Care Education/Training Program | 75 N Country Rd, Ny, Level 2 - Cmo Suite, Port Jefferson, NY 11777 | 2020-03-24 |
| 1184264764 | Girma Moges Gamme | Surgery | 625 Belle Terre Rd, Suite 203 Mather Hospital, Port Jefferson, NY 11777 | 2020-01-10 |
| 1811554637 | Kausar Ali | Nurse Practitioner | 408 Thompson Street, Port Jefferson, NY 11777 | 2019-05-28 |
| 1073097531 | Ministry for Hope, Inc. Montfort Therapeutic Residence | Residential Treatment Facility, Physical Disabilities | 100 Stonyhill Road, Port Jefferson, NY 11777 | 2018-09-20 |
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| Taxonomy Code | 208100000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. American Osteopathic Board of Physical Medicine and Rehabilitation, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Physical Medicine and Rehabilitation. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902000953 | Jun Zhang | Physical Medicine & Rehabilitation | 200 Belle Terre Rd # E140, Port Jefferson, NY 11777-1928 | 2007-06-13 |
| 1285014126 | Araj Sidki | Physical Medicine & Rehabilitation | 200 Belle Terre Rd, Port Jefferson, NY 11777 | 2015-06-05 |
| 1235362013 | Tara Mcconnon | Physical Medicine & Rehabilitation | 200 Belle Terre Rd, Port Jefferson, NY 11777-1928 | 2009-08-27 |
| 1083787071 | Yu Jen Lai | Physical Medicine & Rehabilitation | 200 Belle Terre Rd, Suite E740, Port Jefferson, NY 11777 | 2006-11-16 |
| 1245327196 | Anuja Korlipara | Physical Medicine & Rehabilitation | 200 Belle Terre Rd, Suite E140, Port Jefferson, NY 11777 | 2006-10-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659972719 | Port Washington Medical Rehabilitation | Physical Medicine & Rehabilitation | 41 Corchaug Ave, Port Washington, NY 11050-2019 | 2020-11-05 |
| 1982202313 | Harvey Levitan | Physical Medicine & Rehabilitation | 301 E 79th St Apt 28n, New York, NY 10075-0947 | 2020-10-16 |
| 1205442266 | Bay Ridge Community Physical Therapy | Physical Medicine & Rehabilitation | 6806 5th Ave, Brooklyn, NY 11220-6010 | 2020-09-16 |
| 1669086369 | Alexandra Ortiz | Physical Medicine & Rehabilitation | 263 Commerce St, Hawthorne, NY 10532-2040 | 2020-09-01 |
| 1679181572 | Peter Singer | Physical Medicine & Rehabilitation | 175 Helene St, Islip Terrace, NY 11752-1128 | 2020-07-16 |
| 1184242588 | Dina Dicicco Murray | Physical Medicine & Rehabilitation | 119 New Hampshire Ave, Massapequa, NY 11758-3917 | 2020-07-12 |
| 1831715978 | Kevin Melrick Medenilla Serrano | Physical Medicine & Rehabilitation | New Paltz Center for Rehabilitation and Nursing, 1 Jansen Road, New Paltz, NY 12561 | 2020-06-24 |
| 1457976946 | Karem Jeffrey Casino | Physical Medicine & Rehabilitation | 4313 Judge St Apt 3r, Elmhurst, NY 11373-3477 | 2020-06-10 |
| 1720608151 | Progressive Medical Fitness PC | Physical Medicine & Rehabilitation | 389 Fort Salonga Rd Ste 2, Northport, NY 11768-3089 | 2020-04-27 |
| 1255951075 | Connect Physical Therapy Nyc | Physical Medicine & Rehabilitation | 2761 Decatur Ave Apt 5a, Bronx, NY 10458-3753 | 2020-04-22 |
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| City | PORT JEFFERSON |
| Zip Code | 11777 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.