Organization Active NPI

Downtown Nyc Medical PC

  • Physical Medicine & Rehabilitation Physician
  • New York, NY
National Provider Identifier
1043639834
Registry record updated Apr 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
252279 Issued in NY
Legal business name
DOWNTOWN NYC MEDICAL PC
Practice address
130 William St
Suite 904
New York, NY 10038-3806
Phone
(212) 962-2262
Fax
(212) 962-7472
NPI assigned
Apr 9, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2014

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

Authorized official

Name
Gazelle A Craig, D.O
Title
Owner
Phone
(212) 962-2262

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X 252279 NY Primary

Addresses

Primary practice location

130 William St
Suite 904
New York, NY 10038-3806

Mailing address

130 William St
Suite 904
New York, NY 10038-3806
Phone (212) 962-2262

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1397001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397001600000",
    "number": "1043639834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 WILLIAM ST",
            "address_2": "SUITE 904",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100383806",
            "telephone_number": "212-962-2262",
            "fax_number": "212-962-7472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 WILLIAM ST",
            "address_2": "SUITE 904",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100383806",
            "telephone_number": "212-962-2262",
            "fax_number": "212-962-7472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOWNTOWN NYC MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-09",
        "last_updated": "2014-04-09",
        "status": "A",
        "authorized_official_last_name": "CRAIG",
        "authorized_official_first_name": "GAZELLE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "212-962-2262",
        "authorized_official_credential": "D.O"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "252279",
            "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 Apr 9, 2014; 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.