Organization Active NPI

Grand Rehab Medical

  • Physical Medicine & Rehabilitation Physician
  • New York, NY
National Provider Identifier
1053732560
Registry record updated Dec 31, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
238738 Issued in NY
Legal business name
GRAND REHAB MEDICAL
Practice address
9 E 45TH St
6TH FL
New York, NY 10017-2425
Phone
(212) 879-1478
Fax
(800) 708-5537
NPI assigned
Dec 31, 2013
Organization subpart
Yes
Parent organization
OPTIMUM REHAB &WELLNESSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 31, 2013

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

Authorized official

Name
Dr. Margaret Mei, MD
Title
Medical Director
Phone
(212) 879-1478

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X 238738 NY Primary

Addresses

Primary practice location

9 E 45TH St
6TH FL
New York, NY 10017-2425

Mailing address

1365 York Ave
Suite P2
New York, NY 10021-4035
Phone (212) 879-1478

Other identifiers 1

IdentifierTypeStateIssuer
02746472MedicaidNY

National Provider Directory

National Provider Directory
Part of
Optimum Rehab Wellness PL

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.

NPI Registry JSON

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

{
    "created_epoch": "1388448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388448000000",
    "number": "1053732560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1365 YORK AVE",
            "address_2": "SUITE P2",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100214035",
            "telephone_number": "212-879-1478",
            "fax_number": "800-708-5537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 E 45TH ST",
            "address_2": "6TH FL",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100172425",
            "telephone_number": "212-879-1478",
            "fax_number": "800-708-5537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAND REHAB MEDICAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OPTIMUM REHAB &WELLNESS",
        "enumeration_date": "2013-12-31",
        "last_updated": "2013-12-31",
        "status": "A",
        "authorized_official_last_name": "MEI",
        "authorized_official_first_name": "MARGARET",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "212-879-1478",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "238738",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02746472",
            "state": "NY"
        }
    ],
    "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 Dec 31, 2013; 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.