Hillside Medical & Rehabilitation, PC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

183866-1 Issued in NY

Legal business name

HILLSIDE MEDICAL & REHABILITATION, PC

Practice address

144-34 Hillside Ave
Queens, NY 11435

Phone

(718) 308-7267

NPI assigned

Jan 21, 2009

Organization subpart

No

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

Authorized official

Name

Eric Jacobson, M.D.

Title

Owner

Phone

(718) 308-7267

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Amro Hariedy

  • Physical Therapist
  • Brooklyn, NY
  • NPI 1891992111
  NPD (past)

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

{
    "created_epoch": "1232496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236038400000",
    "number": "1033356563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 OAKLEAF CT",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117436053",
            "telephone_number": "718-308-7267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "144-34 HILLSIDE AVE",
            "city": "QUEENS",
            "state": "NY",
            "postal_code": "11435",
            "telephone_number": "718-308-7267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HILLSIDE MEDICAL & REHABILITATION, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-21",
        "last_updated": "2009-03-03",
        "status": "A",
        "authorized_official_last_name": "JACOBSON",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-308-7267",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "183866-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "2700367",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BLUE CROSS AND BLUE SHIELD",
            "identifier": "2I2972",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kayee Haglund, NURSE PRACTITIONER
• Owuzechi Jessie Hardy, M.D.
• Brianna Harney-Delehanty
• Healthcare Resource Management Group Inc
• Albaraa Hendawi
• Katherine Grace Hood, PHARMD
• Hopeful Horizons, LLC
• Gregory James Hughes, PHARM.D.
• Meng Huo
• Faizal Hussein, DR.

• Physical Medicine & Rehabilitation Physician in Queens, NY
• Providers in Queens, NY by specialty
• Physical Medicine & Rehabilitation Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2009; 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.