NPIMap

Organization Active NPI

Advanced Physical Medicine & Rehabilitation LLC

  • Durable Medical Equipment & Medical Supplies
  • Utica, NY
National Provider Identifier
1033788633
Registry record updated May 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
ADVANCED PHYSICAL MEDICINE & REHABILITATION LLC
Practice address
110 Business Park Dr
Utica, NY 13502-6307
Phone
(315) 798-8737
NPI assigned
Jun 18, 2021
Organization subpart
Yes
Parent organization
ADVANCED PHYSICAL MEDICINE & REHABILITATION LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 15, 2023

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

Authorized official

Name
Nameer Haider, MDNPI 1295786150
Title
Authorized Official
Phone
(315) 798-8737

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

110 Business Park Dr
Utica, NY 13502-6307

Mailing address

110 Business Park Dr
Utica, NY 13502-6307
Phone (315) 798-8737

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210729003145 NY DME Supplier - Physician - Physical and Rehabilitation 7517931736 Practice locations: Utica, NY

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Part of
Advanced Phy Medicine

Locations

1492 Central Ave
Albany, NY 12205
Phone (518) 452-5760

110 Business Park Dr
Utica, NY 13502
Phone (315) 507-5144

2208 Genesee St
Utica, NY 13502
Phone (315) 798-8737

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1623974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684108800000",
    "number": "1033788633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 BUSINESS PARK DR",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135026307",
            "telephone_number": "315-798-8737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 BUSINESS PARK DR",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135026307",
            "telephone_number": "315-798-8737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED PHYSICAL MEDICINE & REHABILITATION LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ADVANCED PHYSICAL MEDICINE & REHABILITATION LLC",
        "enumeration_date": "2021-06-18",
        "last_updated": "2023-05-15",
        "certification_date": "2023-05-15",
        "status": "A",
        "authorized_official_last_name": "HAIDER",
        "authorized_official_first_name": "NAMEER",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "315-798-8737",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Utica, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.