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RISING TIDE HABILITATION SERVICES INC
NPI 1639048804
Clinic/Center - Multi-Specialty in Smithtown, NY

Active since November 04, 2025
496 SMITHTOWN BYP, SMITHTOWN, NY 11787(631) 909-3863 Get Directions Write a Review

NPPES record last updated: November 4, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Rising Tide Habilitation Services Inc NPPES

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

RISING TIDE HABILITATION SERVICES INC (NPI 1639048804) is a healthcare organization registered as a multi-specialty in Smithtown, New York and active in the NPI registry since November 2025. The organization lists Mark Murray, Director, as its authorized official.

NPPES Registry Identity

NPI1639048804
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameRISING TIDE HABILITATION SERVICES INC
Location Address496 SMITHTOWN BYPSmithtown, NY 11787-5005
Mailing Address496 Smithtown BypSmithtown, NY 11787-5005
Phone(631) 909-3863
Organization SubpartNo
Authorized OfficialMark MurrayDirector · (631) 948-4335
Enumeration DateNovember 4, 2025
NPPES CertifiedNovember 4, 2025
✔ NPI 1639048804 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
496 SMITHTOWN BYP, Smithtown, NY 11787
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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.

MS. ELLEN MARIE MCCARTY-SANTORO N.P.
Nurse Practitioner (Adult Health)
496 SMITHTOWN BYP
SMITHTOWN, NY 11787
Suffolk County (631) 979-8880
AMANDA SMITH
Counselor (Mental Health)
496 SMITHTOWN BYP, SUITE 304
SMITHTOWN, NY 11787
Suffolk County (631) 877-6777
DR. ABHAY MALHOTRA M.D.
Internal Medicine (Cardiovascular Disease)
496 SMITHTOWN BYP, SUITE 101
SMITHTOWN, NY 11787
Suffolk County (631) 979-8880
STEFANI SELLITTO LCWS
Social Worker (Clinical)
496 SMITHTOWN BYP, SUITE 202
SMITHTOWN, NY 11787
Suffolk County (631) 926-8556
MILLENNIUM MEDICAL PROFESSIONALS, PLLC
Internal Medicine (Cardiovascular Disease)
496 SMITHTOWN BYP, SUITE 101
SMITHTOWN, NY 11787
Suffolk County (631) 979-8880
KANARIS PSYCHOLOGICAL SERVICES PC
Psychologist
496 SMITHTOWN BYP, #304
SMITHTOWN, NY 11787
Suffolk County (631) 979-2640
STACEY CEDENO ANP
Nurse Practitioner (Adult Health)
496 SMITHTOWN BYP, SUITE 200
SMITHTOWN, NY 11787
Suffolk County (631) 265-9111
DR. MICHAEL EDWARD ROSENBAND M.D.
Internal Medicine (Interventional Cardiology)
496 SMITHTOWN BYP, SUITE 101
SMITHTOWN, NY 11787
Suffolk County (631) 979-8880

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 Rising Tide Habilitation Services Inc's NPI number?

The NPI number for Rising Tide Habilitation Services Inc is 1639048804. It was assigned to this organization in the NPPES registry on November 4, 2025.

Where is Rising Tide Habilitation Services Inc located?

Rising Tide Habilitation Services Inc is located at 496 Smithtown Byp, Smithtown, NY 11787. The listed phone number is (631) 909-3863.

What is Rising Tide Habilitation Services Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

When was this NPI record last updated?

The NPPES record for Rising Tide Habilitation Services Inc was last updated on November 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.