SUFFOLK SPINE AND REHABILITATION MEDICINE (NPI# 1497166615) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497166615 |
| Entity Type | Organization |
| Organization Name | SUFFOLK SPINE AND REHABILITATION MEDICINE |
| Practice Address |
1056 Jericho Turnpike Smithtown NY 11787-1348 |
| Practice Telephone | 6314347700 |
| Practice Fax Number | 6312674141 |
| Mailing Telephone | 6314347700 |
| Mailing Fax Number | 6312674141 |
| Enumeration Date | 2014-05-09 |
| Last Update Date | 2014-05-12 |
| Authorized Official Name | MARK J STERLING (OWNER) |
| Authorized Official Telephone | 6313437700 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2081S0010X |
Physical Medicine & Rehabilitation Specialization: Sports Medicine |
Allopathic & Osteopathic Physicians |
| Street Address |
1056 JERICHO TURNPIKE |
| City | SMITHTOWN |
| State | NY |
| Zip Code | 11787-1348 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083061972 | Half Fast Medical Care PC | Specialist | 1056 Jericho Turnpike, Smithtown, NY 11787 | 2016-05-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558962779 | Gwendolyn Burris | Counselor | 20 Gilbert Avenue, Suite 107-a, Smithtown, NY 11787 | 2020-11-04 |
| 1467051193 | Karin M Caro | Adult Companion | 9 Three Pond Road, Smithtown, NY 11787 | 2020-10-23 |
| 1639706641 | Nimit Khara | Student in an Organized Health Care Education/Training Program | 240 Middle Country Rd A, Smithtown, NY 11787 | 2020-03-27 |
| 1003469032 | Maria Teresa Gardella | Nurse Practitioner | St. Catherine of Siena Medical Center, 50 Ny-25a, Smithtown, NY 11787 | 2019-07-18 |
| 1558922070 | Pamella Ann Grillo | Physician Assistant | 373 Ny-111 #5, Smithtown, NY 11787 | 2019-06-25 |
| 1306308127 | Sherry Hansen | Social Worker | 285 Middle Country Rd, Suite Ll5, Smithtown, NY 11787 | 2019-04-01 |
| 1932663747 | Kayla Roundsman | Counselor | 11 Route 11, Smithtown, NY 11787 | 2019-01-25 |
| 1568959856 | Moreen Johnson | Registered Nurse | Christian Nursing Registry, 17 Bank Ave, Smith Town, NY 11787 | 2018-04-23 |
| 1992217871 | Erica Zeller Licensed Clinical Social Work Pllc | Social Worker | 15 Bellemeade Ave Ste 3, Smithtown, NY 11787 | 2017-10-31 |
| 1881117802 | Oisin Vincent Keenan | Case Manager/Care Coordinator | 11 Ny-111, Smithtown, NY 11787 | 2017-07-21 |
| Find all providers in zip 11787 | ||||
| Taxonomy Code | 2081S0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Sports Medicine |
| A physician who specializes in Sports Medicine is responsible for continuous care related to the enhancement of health and fitness as well as the prevention of injury and illness. The specialist possesses knowledge and experience in the promotion of wellness and the prevention of injury from many areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation and injuries. It is the goal of a Sports Medicine specialist to improve the healthcare of the individual engaged in physical exercise. |
| Notes: Source: American Board of Medical Specialties, 2009. www.abms.org [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851643456 | Rehabilitation Offices of New York | Physical Medicine & Rehabilitation | 1056 W Jericho Tpke, Smithtown, NY 11787-3212 | 2012-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952926743 | Revay O Corbett | Physical Medicine & Rehabilitation | 185 Noble St, Brentwood, NY 11717-6512 | 2020-06-08 |
| 1760011910 | Presnel Dalmeus Jr. | Physical Medicine & Rehabilitation | 700 Health Sciences Dr, Stony Brook, NY 11790-3337 | 2020-04-08 |
| 1417593336 | Andrew Stephen Ward | Physical Medicine & Rehabilitation | 295 Madison Ave Rm 1026, New York, NY 10017-7725 | 2019-11-26 |
| 1699337188 | Dominic Anthony Violi | Physical Medicine & Rehabilitation | 200 Beacon Hill Dr Apt 9a, Dobbs Ferry, NY 10522-7064 | 2019-07-03 |
| 1518520949 | Forest Hills Acupuncture & Physical Therapy Pllc | Physical Medicine & Rehabilitation | 11045 Queens Blvd Ste 106, Forest Hills, NY 11375-5519 | 2019-04-22 |
| 1851819023 | Fam Physical Therapy of Miller Place PC | Physical Medicine & Rehabilitation | 275 Route 25a, Miller Place, NY 11764-2427 | 2017-09-07 |
| 1245755883 | Yitzchak Shollar | Physical Medicine & Rehabilitation | 3226 Kings Hwy, Brooklyn, NY 11234-2617 | 2017-08-04 |
| 1184147449 | Brooklyn Spine and Sports Medicine P.C. | Physical Medicine & Rehabilitation | 415 Grand New York Street, Apt E1707, New York, NY 10002 | 2017-07-19 |
| 1841712296 | New York University | Physical Medicine & Rehabilitation | 1991 Marcus Ave Ste 306, New Hyde Park, NY 11042-2058 | 2017-07-07 |
| 1235518143 | Erin B Chapman | Physical Medicine & Rehabilitation | 350 New Campus Drive, Brockport, NY 14420 | 2015-05-26 |
| Find all providers with the same taxonomy | ||||
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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.