ADVANCED REHABILITATION MEDICINE PLLC
NPI 1063590065
Physical Medicine & Rehabilitation in Port Jefferson, NY

NPI Status: Active since November 01, 2006

Contact Information

200 BELLE TERRE RD
SUITE E140
PORT JEFFERSON, NY
ZIP 11777
Phone: (631) 474-6879
Fax: (631) 474-6448

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  • Organization
  • Physical Medicine & Rehabilitation
  • Accepts Insurance

About ADVANCED REHABILITATION MEDICINE PLLC

This page provides the complete NPI Profile along with additional information for Advanced Rehabilitation Medicine Pllc, a provider established in Port Jefferson, New York operating as a Physical Medicine & Rehabilitation. The healthcare provider is registered in the NPI registry with number 1063590065 assigned on November 2006. The practitioner's primary taxonomy code is 208100000X. The provider is registered as an organization and their NPI record was last updated 6 years ago. Advanced Rehabilitation Medicine Pllc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Carolyn L Fanelli (Practice Manager)

NPI
1063590065
Provider Name
ADVANCED REHABILITATION MEDICINE PLLC
Entity Type
Organization
Location Address
200 BELLE TERRE RD SUITE E140 PORT JEFFERSON, NY 11777
Location Phone
(631) 474-6879
Location Fax
(631) 474-6448
Mailing Address
200 BELLE TERRE RD SUITE E140 PORT JEFFERSON, NY 11777
Mailing Phone
(631) 474-6879
Mailing Fax
(631) 474-6448
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-01-2006
Last Update Date
08-22-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physical Medicine & Rehabilitation

Taxonomy Code
208100000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
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.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • BlueOptions Bronze (HSA) 24J01-10 (Rewards / $4 Condition Care Rx) - PPO
  • BlueOptions Bronze 24J01-04 (3 PCP Visits for $0 then $55 / $70 Specialist Visits / Rewards) - PPO
  • BlueOptions Bronze 24J01-06 (Rewards) - PPO
  • BlueOptions Bronze 24J01-17 ($50 PCP Visits / Rewards) - PPO
  • BlueOptions Bronze 24J01-18S ($50 PCP Visits / Rewards) - PPO
  • BlueOptions Gold 24J01-09 ($0 Deductible / $15 PCP Visits / $75 Specialist Visits / $20 Labs / Rewards) - PPO
  • BlueOptions Gold 24J01-12 ($40 PCP Visits / $75 Specialist Visits / $15 Labs / Rewards) - PPO
  • BlueOptions Gold 24J01-20S ($30 PCP Visits / $60 Specialist Visits / Rewards) - PPO
  • BlueOptions Platinum 24J01-05 ($0 Labs / $15 PCP Visits / $35 Specialist Visits / Rewards) - PPO
  • BlueOptions Platinum 24J01-08 ($0 Deductible / $0 Labs / $15 PCP Visits / $25 Specialist Visits / Rewards) - PPO
  • BlueOptions Platinum 24J01-21S ($0 Deductible / $10 PCP Visits / $20 Specialist Visits / Rewards) - PPO
  • BlueOptions Silver 24J01-03 ($10 Labs / Rewards) - PPO
  • BlueOptions Silver 24J01-07 ($50 PCP Visits / Rewards) - PPO
  • BlueOptions Silver 24J01-19S ($40 PCP Visits / $80 Specialist Visits / Rewards) - PPO
  • BlueCare Bronze (HSA) 24K01-09 (Rewards / $4 Condition Care Rx) - POS
  • BlueCare Bronze 24K01-03 (3 PCP Visits for $0 then $55 / $70 Specialist Visits / Rewards) - POS
  • BlueCare Bronze 24K01-05 (Rewards) - POS
  • BlueCare Bronze 24K01-25 ($50 PCP Visits / $75 Specialist Visits / Rewards) - POS
  • BlueCare Bronze 24K01-31S ($50 PCP Visits / Rewards) - POS
  • BlueCare Bronze 24K02-17 (3 PCP Visits for $0 then $55 / $70 Specialist Visits / Rewards) - POS
  • BlueCare Bronze 24K02-18 (Rewards) - POS
  • BlueCare Bronze 24K02-23 ($50 PCP Visits / $75 Specialist Visits / Rewards) - POS
  • BlueCare Bronze 24K02-26S ($50 PCP Visits / Rewards) - POS
  • BlueCare Gold 24K01-08 ($0 Deductible / $15 PCP Visits / $75 Specialist Visits / $20 Labs / Rewards) - POS
  • BlueCare Gold 24K01-10 ($40 PCP Visits / $75 Specialist Visits / $15 Labs / Rewards) - POS
  • BlueCare Gold 24K01-33S ($30 PCP Visits / $60 Specialist Visits / Rewards) - POS
  • BlueCare Gold 24K02-20 ($0 Deductible / $15 PCP Visits / $75 Specialist Visits / $20 Labs / Rewards) - POS
  • BlueCare Gold 24K02-28S ($30 PCP Visits / $60 Specialist Visits / Rewards) - POS
  • BlueCare Platinum 24K01-04 ($0 Labs / $15 PCP Visits / $35 Specialist Visits / Rewards) - POS
  • BlueCare Platinum 24K01-07 ($0 Deductible / $0 Labs / $15 PCP Visits / $25 Specialist Visits / Rewards) - POS
  • BlueCare Platinum 24K01-34S ($0 Deductible / $10 PCP Visits / $20 Specialist Visits / Rewards) - POS
  • BlueCare Platinum 24K02-15 ($0 Deductible / $0 Labs / $15 PCP Visits / $25 Specialist Visits / Rewards) - POS
  • BlueCare Platinum 24K02-29S ($0 Deductible / $10 PCP Visits / $20 Specialist Visits / Rewards) - POS
  • BlueCare Silver 24K01-02 ($10 Labs / Rewards) - POS

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

CAROLYN L FANELLI

Authorized Official Title
PRACTICE MANAGER
Authorized Official Phone
(631) 474-6049

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
02289747MEDICAID (05)NY 

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1063590065, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 45. The final step is to find the difference between that total and the next multiple of ten (50 - 45 = 5).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
3
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
9
Unchanged
Pos 7
0
Doubled → 0
Pos 8
0
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
5
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 6 → 12 → 3 5 → 10 → 1 0 → 0 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 1 + 2 + 3 + 1 + 0 + 9 + 0 + 0 + 1 + 2 + 24 = 45

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 45 is 50. The difference is the calculated check digit.

50 - 45 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1063590065.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Pediatrics
200 BELLE TERRE RD
PORT JEFFERSON, NY 11777
Orthopaedic Surgery
200 BELLE TERRE RD
PORT JEFFERSON, NY 11777
Psychologist
200 BELLE TERRE RD
PORT JEFFERSON, NY 11777
Pediatrics
200 BELLE TERRE RD
PORT JEFFERSON, NY 11777
Psychologist
200 BELLE TERRE RD
PORT JEFFERSON, NY 11777
Psychologist
200 BELLE TERRE RD
PORT JEFFERSON, NY 11777
Psychologist (Clinical)
200 BELLE TERRE RD
PORT JEFFERSON, NY 11777
Clinical Neuropsychologist
200 BELLE TERRE RD
PORT JEFFERSON, NY 11777
Psychiatry & Neurology (Clinical Neurophysiology)
200 BELLE TERRE RD
PORT JEFFERSON, NY 11777
Pathology (Anatomic Pathology & Clinical Pathology)
200 BELLE TERRE RD
PORT JEFFERSON, NY 11777
Pathology (Anatomic Pathology & Clinical Pathology)
200 BELLE TERRE RD
PORT JEFFERSON, NY 11777
Pathology (Anatomic Pathology & Clinical Pathology)
200 BELLE TERRE RD
PORT JEFFERSON, NY 11777
Pathology (Anatomic Pathology & Clinical Pathology)
200 BELLE TERRE RD
PORT JEFFERSON, NY 11777
Pathology (Anatomic Pathology & Clinical Pathology)
200 BELLE TERRE RD
PORT JEFFERSON, NY 11777
Pathology (Anatomic Pathology & Clinical Pathology)
200 BELLE TERRE RD
PORT JEFFERSON, NY 11777
Emergency Medicine
200 BELLE TERRE RD
PORT JEFFERSON, NY 11777
Physician Assistant
200 BELLE TERRE RD
PORT JEFFERSON, NY 11777
Physician Assistant
200 BELLE TERRE RD
PORT JEFFERSON, NY 11777
Emergency Medicine
200 BELLE TERRE RD
PORT JEFFERSON, NY 11777
Emergency Medicine
200 BELLE TERRE RD
PORT JEFFERSON, NY 11777

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1063590065, enumerated as an "organization" on November 01, 2006.

The provider is located at 200 BELLE TERRE RD SUITE E140 PORT JEFFERSON, NY 11777 and the phone number is (631) 474-6879.

Physical Medicine & Rehabilitation with taxonomy code 208100000X.

The provider might be accepting Accepts: Florida Blue (BlueCross BlueShield FL), Florida. Please consult your insurance carrier or call the provider to verify.