REHABILITATION ASSOCIATE OF LI PHYSICAL MEDICINE PLLC (NPI# 1619367844) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619367844 |
| Entity Type | Organization |
| Organization Name | REHABILITATION ASSOCIATE OF LI PHYSICAL MEDICINE PLLC |
| Practice Address |
175 Jericho Tpke Syosset NY 11791-4532 |
| Practice Telephone | 5163643382 |
| Practice Fax Number | 5163643485 |
| Mailing Telephone | 5163643382 |
| Mailing Fax Number | 5163643485 |
| Enumeration Date | 2015-01-26 |
| Last Update Date | 2015-01-26 |
| Authorized Official Name | DR. WALTER JAMES GAUDINO (OWNER) |
| Authorized Official Telephone | 5163643382 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208100000X | Physical Medicine & Rehabilitation | 185629-1 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00125851 | 05 |
| Street Address |
175 JERICHO TPKE |
| City | SYOSSET |
| State | NY |
| Zip Code | 11791-4532 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669472130 | Howard Heimowitz | Radiology | 175 Jericho Tpke, Suite 120, Syosset, NY 11791-4532 | 2005-07-27 |
| 1497247530 | 50 Oceana Pharmacy Corp. | Durable Medical Equipment & Medical Supplies | 175 Jericho Tpke, West Lobby Suite, Syosset, NY 11791-4532 | 2018-06-05 |
| 1467823443 | Medical Office of Fawzy Wasfy Salama Pllc | Psychiatry & Neurology | 175 Jericho Tpke, Suite 411, Syosset, NY 11791-4532 | 2015-10-15 |
| 1164806758 | Dr Greg Davies & Dr Sharone Stern | Podiatrist | 175 Jericho Tpke, Suite 300, Syosset, NY 11791-4532 | 2015-07-14 |
| 1265821953 | Positive Change Psychiatry Pllc | Psychiatry & Neurology | 175 Jericho Tpke, Suite 301, Syosset, NY 11791-4532 | 2015-01-18 |
| 1710393459 | Nicole R Esposito | Speech-Language Pathologist | 175 Jericho Tpke, Suite 103, Syosset, NY 11791-4546 | 2014-07-02 |
| 1194135483 | Diabetes and Endocrine Care of Long Island Pllc | Internal Medicine | 175 Jericho Tpke, Suite 300, Syosset, NY 11791-4532 | 2014-05-07 |
| 1679918957 | Elliott Jay Dombroff | Dentist | 175 Jericho Tpke, Suite 307a, Syosset, NY 11791-4532 | 2013-05-01 |
| 1588008346 | Celestino Marques Dossantos | Dentist | 175 Jericho Tpke, Suite 307a, Syosset, NY 11791-4532 | 2013-04-24 |
| 1154675395 | North Shore Diagnostics | Chiropractor | 175 Jericho Tpke, Suite 102, Syosset, NY 11791-4532 | 2012-11-08 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508491879 | Marjorie Stein, M.d., PC | Internal Medicine | 30 Coach Lane, Muttontown, NY 11791 | 2020-03-07 |
| 1770118168 | Naomi Krikheli | Occupational Therapy Assistant | Cooper Kids Therapy Associates, 2 Roosevelt Ave Sute300, Syosset, NY 11791 | 2020-03-06 |
| 1912482266 | Angela Viviana Depompeis | Student in an Organized Health Care Education/Training Program | 6800 Jericho Turnpike Suite 120w, Syosset, NY 11791 | 2018-10-02 |
| 1063997104 | Stephen William Tozer | Specialist/Technologist | 70 South Woods Road, Syosset, NY 11791 | 2018-09-25 |
| 1295214682 | Cathy Lynn Singer | Nurse Practitioner | 575 Underhill Blvd Ste 210, Syosset, NY 11791 | 2018-08-07 |
| 1831628296 | Amanticia Joseph | Case Manager/Care Coordinator | 40 Oak Drive, Syosset, NY 11791 | 2017-06-08 |
| 1528500758 | James F Creamer | Chiropractor | 15 Beatrice Ave, Syosset, NY 11791 | 2016-11-04 |
| 1053868190 | Diana Eileen Marlow | Registered Nurse | 1597 Laurel Hollow Road, Syosset, NY 11791 | 2016-09-07 |
| 1346796695 | Emily Bregman | Specialist | 33 Picardy Lane, Laurel Hollow, NY 11791 | 2016-08-28 |
| 1962811364 | Leslie Juarez | Registered Nurse | 7 Market Drive, Syosset, NY 11791 | 2014-08-11 |
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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 |
|---|---|---|---|---|
| 1821408527 | Jerry Thomas | Physical Medicine & Rehabilitation | 150 Eileen Way Unit 1, Syosset, NY 11791-5313 | 2014-05-02 |
| 1750417283 | Joseph Anthony Bax | Physical Medicine & Rehabilitation | 121 Eileen Way, Syosset, NY 11791-5302 | 2007-02-26 |
| 1336171909 | Rebecca Fishman | Physical Medicine & Rehabilitation | 18 Jackson Ave, Ste 3, Syosset, NY 11791-3137 | 2006-07-06 |
| 1346218930 | Walter James Gaudino | Physical Medicine & Rehabilitation | 175 Jericho Tpke, Suite 102, Syosset, NY 11791-4532 | 2006-03-09 |
| 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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| 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.