Organization Active NPI

Njnyc Downtown Rehabilitation LLC

  • Family Medicine Physician
  • New York, NY
National Provider Identifier
1003277161
Registry record updated Mar 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
NJNYC DOWNTOWN REHABILITATION LLC
Practice address
1410 Broadway
Suite 202
New York, NY 10018-5007
Phone
(914) 376-6100
NPI assigned
Mar 16, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2016

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

Authorized official

Name
Melissa Nieli
Title
Biller
Phone
91437666100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

1410 Broadway
Suite 202
New York, NY 10018-5007

Mailing address

1410 Broadway
Suite 202
New York, NY 10018-5007
Phone (914) 376-6100

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1458086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458086400000",
    "number": "1003277161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1410 BROADWAY",
            "address_2": "SUITE 202",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100185007",
            "telephone_number": "914-376-6100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410 BROADWAY",
            "address_2": "SUITE 202",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100185007",
            "telephone_number": "914-376-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NJNYC DOWNTOWN REHABILITATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-16",
        "last_updated": "2016-03-16",
        "status": "A",
        "authorized_official_last_name": "NIELI",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "BILLER",
        "authorized_official_telephone_number": "91437666100"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "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 Mar 16, 2016; 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.