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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: July 19, 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.

DR. PETER S KANARIS PHD
Psychologist (Clinical)
496 SMITHTOWN BYP, #304
SMITHTOWN, NY 11787
Suffolk County (631) 979-2640
DR. ARVIND CHOPRA M.D.
Psychiatry & Neurology (Neurology)
496 SMITHTOWN BYP, SUITE 307
SMITHTOWN, NY 11787
Suffolk County (631) 360-6649
DR. JYOTI PRAKASH GANGULY M.D.
Internal Medicine (Cardiovascular Disease)
496 SMITHTOWN BYP, SUITE 101
SMITHTOWN, NY 11787
Suffolk County (631) 979-8880
DR. BRIAN STEWART GELLER M.D.
Internal Medicine (Cardiovascular Disease)
496 SMITHTOWN BYP, SUITE 101
SMITHTOWN, NY 11787
Suffolk County (631) 979-8880
DR. CORNELL MICHAEL COHEN M.D.
Internal Medicine (Cardiovascular Disease)
496 SMITHTOWN BYP, SUITE 101
SMITHTOWN, NY 11787
Suffolk County (631) 979-8880
DR. ABHAY MALHOTRA M.D.
Internal Medicine (Cardiovascular Disease)
496 SMITHTOWN BYP, SUITE 101
SMITHTOWN, NY 11787
Suffolk County (631) 979-8880
MR. NICHOLAS E WOLFF LCSW
Social Worker (Clinical)
496 SMITHTOWN BYP, SUITE 202
SMITHTOWN, NY 11787
Suffolk County (631) 366-4265
JUDE M. TREDER-WOLFF LCSW
Social Worker (Clinical)
496 SMITHTOWN BYP, SUITE 202
SMITHTOWN, NY 11787
Suffolk County (631) 366-4265

Frequently Asked Questions

What is RISING TIDE HABILITATION SERVICES INC's NPI number?

The NPI number assigned to this healthcare provider is 1639048804, enumerated as an "organization" on November 04, 2025.

Where is the provider located?

The provider is located at 496 SMITHTOWN BYP SMITHTOWN, NY 11787 and the phone number is (631) 909-3863.

What is the provider's specialty?

Clinic/Center with taxonomy code 261QM1300X and a focus in Multi-Specialty.