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EAST COAST REHABILITATION INC NPI 1477570315


NPI Information

NPI: 1477570315
Provider Name: EAST COAST REHABILITATION INC

Doing Business As: COLUMBUS CENTER FOR MEDICAL REHABILITATION

Classification: Clinic/Center - 261QR0401X
Entity Type: Organization

Specialization: Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)

CLIA Number: 33D1018574

Address:
1221 JEROME AVE
BRONX, NY
ZIP 10452
Phone: (718) 538-8343
Get Directions

EAST COAST REHABILITATION INC is a rehabilitation and comprehensive outpatient rehabilitation facility (corf) clinic center in Bronx, NY. EAST COAST REHABILITATION INC NPI is 1477570315. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Columbus Center For Medical Rehabilitation.

The provider's business location address is:

1221 JEROME AVE
BRONX, NY
ZIP 10452-301
Phone: (718) 538-8343
Fax: (718) 538-8356

The provider's authorized official is Leo Futerman .
The authorized official title is Executive Director and has the following contact phone number (718) 538-8343.

The CLIA number assigned to this NPI record is 33D1018574 - comprehensive outpatient rehab with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/16/2006 and was last updated on 1/25/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1225400000XRehabilitation Practitioner220243NEW YORKNo
2332B00000XDurable Medical Equipment & Medical Supplies220248NEW YORKNo
3332BC3200XDurable Medical Equipment & Medical SuppliesCustomized Equipment220248NEW YORKNo
4261QR0401XClinic/CenterRehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)=========NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
15672660001MEDICARE PIN
2417R42MEDICARE UPIN
3WNW291MEDICARE PIN
4334533MEDICARE OSCAR/CERTIFICATIONNEW YORK
55672660001MEDICARE NSC

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.