MOUNT SINAI REHABILITATION HOSPITAL, INC. (NPI# 1730301169) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730301169 |
| Entity Type | Organization |
| Organization Name | MOUNT SINAI REHABILITATION HOSPITAL, INC. |
| Practice Address |
490 Blue Hills Ave Hartford CT 06112-1513 |
| Mailing Address |
114 Woodland St Hartford CT 06105-1208 |
| Practice Telephone | 8607144000 |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2018-12-04 |
| Authorized Official Name | ROBERT KRUG (PRESIDENT) |
| Authorized Official Telephone | 8607142614 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | TRINITY HEALTH OF NEW ENGLAND CORPORATION, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 283X00000X | Rehabilitation Hospital | 17CD | CT | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | ORTHONET | 0041101 | 01 |
| CT | 4147725 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053357533 | Mount Sinai Rehabilitation Hospital, Inc. | Rehabilitation Hospital | 490 Blue Hills Ave, Hartford, CT 06112-1513 | 2006-06-21 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | MOUNT SINAI REHABILITATION HOSPITAL, INC. | 490 Blue Hills Ave., Hartford, CT 06112 |
| Street Address |
490 BLUE HILLS AVE |
| City | HARTFORD |
| State | CT |
| Zip Code | 06112-1513 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215935168 | Robert Krug | Physical Medicine & Rehabilitation | 490 Blue Hills Ave, Hartford, CT 06112-1513 | 2005-07-13 |
| 1225581937 | Kristan Brown | Nurse Practitioner | 490 Blue Hills Ave, Hartford, CT 06112 | 2016-07-28 |
| 1912218686 | Moeid Khan | Physical Medicine & Rehabilitation | 490 Blue Hills Ave, Saint Francis Mecical Group, Inc, Hartford, CT 06112-1513 | 2010-06-28 |
| 1821280314 | Glenda J Thomas | Nurse Practitioner | 490 Blue Hills Ave, Physician's Office Suite, Hartford, CT 06112-1513 | 2007-08-17 |
| 1932320876 | Bruce H Hsu | Physical Medicine & Rehabilitation | 490 Blue Hills Ave, 3rd Floor (rehab Medicine Office), Hartford, CT 06112 | 2007-05-01 |
| 1487774840 | Ricardo Ruiz | Internal Medicine | 490 Blue Hills Ave, Hartford, CT 06112-1513 | 2007-03-30 |
| 1063539906 | Caroline W. Burns | Occupational Therapist | 490 Blue Hills Ave, Hartford, CT 06112-1513 | 2007-03-24 |
| 1295850485 | Radiology Associates of Hartford PC | Radiology | 490 Blue Hills Ave, Hartford, CT 06112-1513 | 2007-03-20 |
| 1649332909 | Raymond Chagnon | Specialist | 490 Blue Hills Ave, Pt and Rehab, Hartford, CT 06112-1513 | 2006-12-14 |
| 1619901378 | Kathleen M Abbott | Physical Medicine & Rehabilitation | 490 Blue Hills Ave, Hartford, CT 06112-1513 | 2006-07-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841810355 | Ashwin Mahesh | Student in an Organized Health Care Education/Training Program | 131 Coventry Street, 2nd Floor, Burgdorf Clinic, Hartford, CT 06112 | 2020-04-24 |
| 1336600527 | Waleed Ibrahim | Student in an Organized Health Care Education/Training Program | Burgdorf Clinic, 131 Coventry Street 2nd Floor, Hartford, CT 06112 | 2019-03-29 |
| 1740741941 | Hajra Munawar | Student in an Organized Health Care Education/Training Program | Burgdorf Clinic 131 Coventry Street, Hartford, CT 06112 | 2019-03-29 |
| 1194191973 | Esther Wint | Nurse Practitioner | 490 Blue Ave, Hartford, CT 06112 | 2015-08-17 |
| 1194105700 | Michelle Russi | Physical Therapy Assistant | 490 Blue Hill Ave., Hartford, CT 06112 | 2015-06-09 |
| 1366858359 | Krysten N Marotta | Pharmacist | 1290 Albany Ave, Hartford, CT 06112 | 2014-07-10 |
| 1447403522 | Moon Hee Yoo | Psychiatry & Neurology | 500 Vine St., Capitol Region Mental Health Center, Hartford, CT 06112 | 2008-11-03 |
| 1992958094 | Roxann Marie Ellis-denby | Social Worker | 51 Coventry Street, Capitol Region Mental Health Center, Hartford, CT 06112 | 2008-11-03 |
| 1265590871 | The Connecticut Institute for The Blind | Intermediate Care Facility, Mentally Retarded | 120 Holcomb Street, Hartford, CT 06112 | 2006-12-05 |
| 1164580379 | Intercommunity, Inc. | Clinic/Center | 16 Coventry Street, Hartford, CT 06112 | 2006-12-04 |
| Find all providers in zip 06112 | ||||
| Taxonomy Code | 283X00000X |
| Grouping | Hospitals |
| Classification | Rehabilitation Hospital |
| A hospital or facility that provides health-related, social and/or vocational services to disabled persons to help them attain their maximum functional capacity. |
| Notes: Source: Joint Commission on Accreditation of Healthcare Organizations, Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Oakbrook Terrace, IL: 1994, p. 323 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053357533 | Mount Sinai Rehabilitation Hospital, Inc. | Rehabilitation Hospital | 490 Blue Hills Ave, Hartford, CT 06112-1513 | 2006-06-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326410275 | Laura Gutman LLC | Rehabilitation Hospital | 13 Caccamo Trl, Westport, CT 06880-2506 | 2015-10-30 |
| 1821454166 | Department of Veterans Affairs | Rehabilitation Hospital | 950 Campbell Ave, West Haven, CT 06516-2770 | 2015-12-31 |
| 1104131283 | Masonicare | Rehabilitation Hospital | 22 Masonic Ave, Rehab Department, Wallingford, CT 06492-3048 | 2010-08-12 |
| 1184869174 | Rebecca Lynn Raymond | Rehabilitation Hospital | 22 Masonic Ave, Wallingford, CT 06492-3048 | 2008-12-05 |
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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.