Active NPIOrganization

Avantgarde Rehabilitation Limited Liability Company

Physical Therapist in Staten Island, New York

NPI Number1881937423
Practice location
520 Bloomingdale RD, Staten Island, NY 10309-2061
Fax
718-605-8739
Last updated
July 14, 2025

Avantgarde Rehabilitation Limited Liability Company is a healthcare organization based in Staten Island, NY. Avantgarde Rehabilitation Limited Liability Company practices in Staten Island, NY. The NPI Number for Avantgarde Rehabilitation Limited Liability Company is 1881937423 and holds a License No. 8002032 (NY). The current practice location address for Avantgarde Rehabilitation Limited Liability Company is 520 Bloomingdale RD, Staten Island, NY 10309-2061 and can be reached out via phone at 718-605-1300 and via fax at 718-605-8739.

Provider Profile Details

NPI Number
1881937423
Provider Name
Avantgarde Rehabilitation Limited Liability Company
Provider Entity Type
Organization
Address
520 Bloomingdale RD, Staten Island, NY 10309-2061
Phone Number
718-605-1300
Fax Number
718-605-8739
Primary Taxonomy
Physical Therapist · 225100000X
Organization Subpart
No
Authorized Official
Viktoriya Khomenko, DPT · Owner · 718-605-1300
Provider Enumeration Date
April 2, 2013
Last Update Date
July 14, 2025
Certification Date
July 14, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
520 Bloomingdale RD
Staten Island, NY 10309-2061
Zip
10309-2061
Phone Number
718-605-1300
Fax Number
718-605-8739
Staten Island, NY 10309Get directions →

Provider Business Mailing Address Details

Address
8 Bur CT
Manalapan, NJ 07726-1878
City
Manalapan
State
NJ
Zip
07726-1878
Phone Number
732-995-9293

License Information

License Number
8002032
License State
NY
Taxonomy
Physical Therapist · 225100000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Avantgarde Rehabilitation Limited Liability Company?

The NPI number of Avantgarde Rehabilitation Limited Liability Company is 1881937423. It was assigned on April 2, 2013 and is currently active in the NPPES registry.

What is the specialty of Avantgarde Rehabilitation Limited Liability Company?

Avantgarde Rehabilitation Limited Liability Company is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in NY under license number 8002032.

Where does Avantgarde Rehabilitation Limited Liability Company practice?

The practice location is 520 Bloomingdale RD, Staten Island, NY 10309-2061. The office can be reached at 718-605-1300 (phone) or 718-605-8739 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1881937423 directly on the NPPES registry website.

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