Organization Active NPI

Achievers First Step Rehab PT PC

  • Physical Disabilities Residential Treatment Facility
  • Brooklyn, NY
National Provider Identifier
1063819738
Registry record updated Dec 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Disabilities Residential Treatment FacilityTaxonomy code 320700000X
License
033753 Issued in NY
Legal business name
ACHIEVERS FIRST STEP REHAB PT PC
Practice address
2769 Coney Island Ave
Brooklyn, NY 11235-5061
Phone
(929) 245-0631
Fax
(718) 676-7756
NPI assigned
Nov 24, 2014
Last updated
Dec 13, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2017

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

Authorized official

Name
Dr. Medhat H Elnazer, PHD, DPT, PTNPI 1215341532
Title
President
Phone
(929) 245-0631

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Disabilities Residential Treatment Facility 320700000X 033753 NY Primary

Addresses

Primary practice location

2769 Coney Island Ave
Brooklyn, NY 11235-5061

Mailing address

2769 Coney Island Ave
Brooklyn, NY 11235-5061
Phone (929) 245-0631

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1416787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513123200000",
    "number": "1063819738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2769 CONEY ISLAND AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112355061",
            "telephone_number": "929-245-0631",
            "fax_number": "718-676-7756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2769 CONEY ISLAND AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112355061",
            "telephone_number": "929-245-0631",
            "fax_number": "718-676-7756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACHIEVERS FIRST STEP REHAB PT PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-24",
        "last_updated": "2017-12-13",
        "status": "A",
        "authorized_official_last_name": "ELNAZER",
        "authorized_official_first_name": "MEDHAT",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "929-245-0631",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, DPT, PT"
    },
    "taxonomies": [
        {
            "code": "320700000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Physical Disabilities",
            "state": "NY",
            "license": "033753",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2017; 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.