Organization Active NPI

Wall Street Medical PC

  • Physical Medicine & Rehabilitation Physician
  • New York, NY
National Provider Identifier
1003025479
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
WALL STREET MEDICAL PC
Practice address
80 John St
New York, NY 10038-2806
Phone
(212) 777-7702
Fax
(212) 248-3033
NPI assigned
May 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mariya Tsinis, MD
Title
Owner
Phone
(212) 777-7702

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X Primary

Addresses

Primary practice location

80 John St
New York, NY 10038-2806

Mailing address

80 John St
New York, NY 10038-2806
Phone (212) 777-7702

National Provider Directory

National Provider Directory
Tax ID family
Wall Street Medical PC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

80 John St
New York, NY 10038
Phone (212) 248-3030

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1003025479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 JOHN ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100382806",
            "telephone_number": "212-777-7702",
            "fax_number": "212-248-3033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 JOHN ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100382806",
            "telephone_number": "212-777-7702",
            "fax_number": "212-248-3033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALL STREET MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TSINIS",
        "authorized_official_first_name": "MARIYA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "212-777-7702",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.