Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Advanced Rehabilitation Medicine PLLC

Organization Physical Medicine & Rehabilitation Physician · NPI 1063590065

Advanced Rehabilitation Medicine PLLC is a Physical Medicine & Rehabilitation Physician in Port Jefferson, New York. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

200 Belle Terre Rd Ste E140
Port Jefferson, NY 11777
Phone: (631) 474-6879
Fax: (631) 474-6448
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X

Record details

NPI number1063590065
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Carolyn Fanelli — Practice Manager · (631) 474-6049
NPI enumeratedNovember 1, 2006
Last updated in NPPESAugust 22, 2020
Mailing address200 Belle Terre Rd, Suite E140, Port Jefferson, NY 11777

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