ADVANCED REHABILITATION MEDICINE PLLC.
NPI 1598855058
Rehabilitation Practitioner in Port Jefferson, NY

Q: What is Advanced Rehabilitation Medicine PLLC.'s specialty?

The primary specialty registered for this NPI is Rehabilitation Practitioner with taxonomy code 225400000X.

Active since October 13, 2006

200 BELLE TERRE RD, SUITE E140, PORT JEFFERSON, NY 11777(631) 474-6879(631) 474-6448 Get Directions Write a Review

NPPES record last updated: January 21, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Advanced Rehabilitation Medicine Pllc. NPPES

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

ADVANCED REHABILITATION MEDICINE PLLC. (NPI 1598855058) is a healthcare organization registered as a rehabilitation practitioner in Port Jefferson, New York and active in the NPI registry since October 2006. The organization lists Carolyn L. Fanelli, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1598855058

Entity TypeOrganization

Primary Taxonomy225400000X

Legal Business NameADVANCED REHABILITATION MEDICINE PLLC.

Location Address200 BELLE TERRE RD, SUITE E140Port Jefferson, NY 11777-1928

Mailing Address200 Belle Terre Rd, Suite E140Port Jefferson, NY 11777-1928 · (631) 474-6879 · Fax (631) 474-6448

Phone(631) 474-6879

Fax(631) 474-6448

Organization SubpartNo

Authorized OfficialCarolyn L. FanelliPractice Manager · (631) 474-6049

Enumeration DateOctober 13, 2006

Last NPPES UpdateJanuary 21, 2010

✔ NPI 1598855058 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRehabilitation PractitionerRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code225400000X

Definition

A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

200 BELLE TERRE RD, Port Jefferson, NY 11777

Open in Google Maps ↗

Other Identifiers 2

Medicaid02289747NY

Medicare ID-Type UnspecifiedWEB031NY · Group

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

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

ANTHONY BRIAN KWAN MD

Emergency Medicine