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WELLBRIDGE
NPI 1528609799
Substance Abuse Rehabilitation Facility in Calverton, NY

Active since September 30, 2019CLIA 33D2177219 · Waiver
525 JAN WAY, CALVERTON, NY 11933(631) 508-5400 Get Directions Write a Review

NPPES record last updated: June 1, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 1, 2020, Sep 30, 2019 (2 updates tracked since 2019).

About Wellbridge NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WELLBRIDGE (NPI 1528609799) is a healthcare organization registered as a substance abuse rehabilitation facility in Calverton, New York and active in the NPI registry since September 2019. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists Robert James Lenahan, Project Manager, as its authorized official.

NPPES Registry Identity

NPI1528609799
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameEBDK AT CALVERTON
Location Address525 JAN WAYCalverton, NY 11933-3005
Mailing Address67 Clinton RdGarden City, NY 11530-4777
Phone(631) 508-5400
Organization SubpartNo
Authorized OfficialRobert James LenahanProject Manager · (631) 205-8699
Enumeration DateSeptember 30, 2019
Last NPPES UpdateJune 1, 20202 updates tracked since enumeration
NPPES CertifiedJune 1, 2020
✔ NPI 1528609799 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
525 JAN WAY, Calverton, NY 11933
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Other Names 1

Doing Business AsWellbridge

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D2177219

Wellbridge · Calverton, NY
Active · expires Mar 26, 2027
CLIA Number33D2177219
Laboratory TypeComp. Outpatient Rehab Facility
Certificate Effective DateJanuary 7, 2020
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Edmond Hakimi
Laboratory Phone(631) 508-5400
Laboratory LocationWellbridge525 Jan Way, Calverton, NY 11933
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SHANA MARIE GLYNN MS, RPA-C, RD, CDN
Physician Assistant
525 JAN WAY
CALVERTON, NY 11933
Suffolk County (631) 508-5400
DR. ROHAN JEET SINGH M.D.
Internal Medicine (Addiction Medicine)
525 JAN WAY
CALVERTON, NY 11933
Suffolk County (631) 508-5400
MS. JANETTE M SPERANDEO NP
Nurse Practitioner (Adult Health)
525 JAN WAY
CALVERTON, NY 11933
Suffolk County (631) 508-5519
DR. EDMOND HAKIMI D.O
Internal Medicine (Addiction Medicine)
525 JAN WAY
CALVERTON, NY 11933
Suffolk County (631) 508-5400

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ebdk At Calverton's NPI number?

The NPI number for Ebdk At Calverton is 1528609799. It was assigned to this organization in the NPPES registry on September 30, 2019. The provider is doing business as Wellbridge.

Where is Ebdk At Calverton located?

Ebdk At Calverton is located at 525 Jan Way, Calverton, NY 11933. The listed phone number is (631) 508-5400.

What is Ebdk At Calverton's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

Does Ebdk At Calverton hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2177219) is associated with this NPI, valid through March 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Ebdk At Calverton was last updated on June 1, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.