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NPI · 1669453502 · NPPES-sourced

Island Rehabilitative Services Corp

ActiveEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center
NPI Number
1669453502
Type 2 · Organisation
Contact
(347) 671-8399
License NY · 7004204R
Last Updated
Enumerated
Primary practice addressNY · 10314-5307
25 Fanning StStaten Island, NY 10314-5307
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About this NPIWhat this record shows.

NPI 1669453502 is registered to Island Rehabilitative Services Corp, a healthcare organisation classified as "End-Stage Renal Disease (ESRD) Treatment Clinic/Center" and located at 25 Fanning St in Staten Island, New York. The organisation's authorised official is Dominic Licciardi. The organisation has been enumerated in the NPI registry since 2005.

Provider type
Organisation (Type 2)
Status
Active
Enumerated
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Secondary identifiers

Additional identifiers this provider has registered with NPPES. Used by medical billers, credentialers, and insurance verifiers to cross-reference claims and enrollments.

Medicaid

Source: NPPES public registry.

Medicare enrollment

This provider holds a Medicare enrollment on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Part A Provider

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Island Rehabilitative Services Corp accepts. To confirm in-network status with your specific health plan, contact Island Rehabilitative Services Corp directly at (347) 671-8399.

Frequently asked

Yes. NPI 1669453502 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

End-Stage Renal Disease (ESRD) Treatment Clinic/Center is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (347) 671-8399.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Island Rehabilitative Services Corp is a Type-2 organisational NPI.

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Quick facts

Provider typeOrganisation
Taxonomy261QE0700X
Last updated
Enumerated
StatusActive
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1 record · same addressOther providers at this location.

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Same specialtyOther End-Stage Renal Disease (ESRD) Treatment Clinic/Center providers in New York.

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Adjacent in the NPPES enumeration sequenceNPIs enumerated around this one.

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