Organization Active NPI

Paradigm Medical Rehabilitation PLLC

  • Physical Medicine & Rehabilitation Physician
  • Plainview, NY
National Provider Identifier
1053921197
Registry record updated Oct 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
PARADIGM MEDICAL REHABILITATION PLLC
Practice address
888 Old Country Rd
Plainview, NY 11803-4914
Phone
(516) 719-3000
Fax
(770) 502-6792
NPI assigned
Aug 4, 2020
Last updated
Oct 14, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2025

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

Authorized official

Name
Kunal Devdatt Oak, DONPI 1578983102
Title
President
Phone
(718) 598-6808

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
Physical Medicine & Rehabilitation Physician 208100000X Primary

Addresses

Primary practice location

888 Old Country Rd
Plainview, NY 11803-4914

Mailing address

334 Hillside Dr S
New Hyde Park, NY 11040-2720

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201105002803 NY Part B Supplier - Clinic/Group Practice 2668882457 Receives reassigned benefits from 5 practitioners
Practice locations: West Babylon, NY; Syosset, NY; Plainview, NY; Southampton, NY; Rockville Centre, NY; Port Jefferson Station, NY; Great Neck, NY; Bethpage, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1596499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760400000000",
    "number": "1053921197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "334 HILLSIDE DR S",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110402720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "888 OLD COUNTRY RD",
            "city": "PLAINVIEW",
            "state": "NY",
            "postal_code": "118034914",
            "telephone_number": "516-719-3000",
            "fax_number": "770-502-6792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARADIGM MEDICAL REHABILITATION PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-04",
        "last_updated": "2025-10-14",
        "certification_date": "2025-10-14",
        "status": "A",
        "authorized_official_last_name": "OAK",
        "authorized_official_first_name": "KUNAL",
        "authorized_official_middle_name": "DEVDATT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-598-6808",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plainview, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2025; 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.