ISLAND REHABILITATIVE SERVICES CORP. – NPI #1235130840
Clinic/Center

ISLAND REHABILITATIVE SERVICES CORP. is an AHC clinic located in STATEN ISLAND, NY. NPPES has assigned the NPI number 1235130840 to ISLAND REHABILITATIVE SERVICES CORP. on August 04, 2005. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QE0700X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in End-Stage Renal Disease (ESRD) Treatment

The NPI profile was previously updated about 4 years ago on Jul 21, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ISLAND REHABILITATIVE SERVICES CORP. below.

NPI Profile for
ISLAND REHABILITATIVE SERVICES CORP.

NPI Number
1235130840
Enumeration Date

(about 21 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ISLAND REHABILITATIVE SERVICES CORP.
Primary location
470 SEAVIEW AVE
STATEN ISLAND, NY 10305-3401
Phone: (718) 987-5942 Fax: (718) 667-9708
Mailing address
97 NEW DORP LN
STATEN ISLAND, NY 10306-2364
Phone: (718) 448-5641 Fax: (718) 876-5969
Organization Subpart
Yes - ISLAND REHABILITATIVE SERVICES CORP. is subpart of another organization.
Authorized Official
DOMINIC LICCIARDI
ADMINISTRATOR
Phone: (718) 987-5942
Updated
Identifiers

Identifiers for ISLAND REHABILITATIVE SERVICES CORP.

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDNY00519755
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QE0700X
- Clinic/Center / End-Stage Renal Disease (ESRD) Treatment (Primary)		 NY

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.