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JEFFERSON REHABILITATION CENTER
NPI 1699982603
Intermediate Care Facility, Intellectual Disabilities in Watertown, NY

Active since May 17, 2007
453 GAFFNEY DR, WATERTOWN, NY 13601(315) 788-3719 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jefferson Rehabilitation Center NPPES

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

JEFFERSON REHABILITATION CENTER (NPI 1699982603) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Watertown, New York and active in the NPI registry since May 2007. The organization lists Daniel E. Stern, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1699982603
Entity TypeOrganization
Primary Taxonomy315P00000X
Legal Business NameJEFFERSON REHABILITATION CENTER
Location Address453 GAFFNEY DRWatertown, NY 13601-1834
Mailing AddressPo Box 41Watertown, NY 13601-0041 · (315) 788-2730 · Fax (315) 788-8557
Phone(315) 788-3719
Organization SubpartNo
Authorized OfficialDaniel E. SternExecutive Director · (315) 788-2730
Enumeration DateMay 17, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1699982603 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyIntermediate Care Facility, Intellectual DisabilitiesNursing & Custodial Care Facilities
Taxonomy Code315P00000X
License✔ Licensed in NY · 7642494
Definition
An intermediate care facility providing services for individuals with intellectual disabilities.
453 GAFFNEY DR, Watertown, NY 13601
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Other Identifiers 1

Medicaid01289610NY

Other Providers at the Same Location NPPES

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

MARAYA LYNN VANBROCKLIN OTR/L
Occupational Therapist
453 GAFFNEY DR
WATERTOWN, NY 13601
Jefferson County (315) 836-1227

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 Jefferson Rehabilitation Center's NPI number?

The NPI number for Jefferson Rehabilitation Center is 1699982603. It was assigned to this organization in the NPPES registry on May 17, 2007.

Where is Jefferson Rehabilitation Center located?

Jefferson Rehabilitation Center is located at 453 Gaffney Dr, Watertown, NY 13601. The listed phone number is (315) 788-3719.

What is Jefferson Rehabilitation Center's specialty?

The primary specialty registered for this NPI is Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.

When was this NPI record last updated?

The NPPES record for Jefferson Rehabilitation Center was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.