Advanced Rehabilitation Medicine PLLC
NPI 1063590065 · Physical Medicine & Rehabilitation Physician · Port Jefferson, NY
Advanced Rehabilitation Medicine PLLC is a Physical Medicine & Rehabilitation Physician organization in Port Jefferson, NY (NPI 1063590065).
Provider details
- NPI number
- 1063590065
- Entity type
- Organization
- Primary specialty
- Physical Medicine & Rehabilitation PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Carolyn Fanelli, Practice Manager(631) 474-6049
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-11-01
- Last updated
- 2020-08-22
Frequently asked questions
- What is Advanced Rehabilitation Medicine PLLC's NPI number?
- Advanced Rehabilitation Medicine PLLC's National Provider Identifier (NPI) is 1063590065, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Advanced Rehabilitation Medicine PLLC?
- Advanced Rehabilitation Medicine PLLC is classified in the NPPES registry as Physical Medicine & Rehabilitation Physician (Allopathic & Osteopathic Physicians).
- Where is Advanced Rehabilitation Medicine PLLC located?
- Advanced Rehabilitation Medicine PLLC's practice location on file with NPPES is 200 Belle Terre Rd, Port Jefferson, NY 11777.
- What is Advanced Rehabilitation Medicine PLLC's phone number?
- The practice phone number listed in the NPPES registry for Advanced Rehabilitation Medicine PLLC is (631) 474-6879.
- Who is the authorized official for Advanced Rehabilitation Medicine PLLC?
- The authorized official listed on Advanced Rehabilitation Medicine PLLC's NPPES record is Carolyn Fanelli, Practice Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Advanced Rehabilitation Medicine PLLC's NPI active?
- Yes — Advanced Rehabilitation Medicine PLLC's NPI (1063590065) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.