Nextgen Rehab LLC

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

Legal business name

NEXTGEN REHAB LLC

Practice address

13530 Michigan Ave
Suite 310
Dearborn, MI 48126-3574

Phone

(586) 277-5985

Fax

(800) 836-9340

NPI assigned

Oct 31, 2016

Organization subpart

No

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

Authorized official

Name

Mr. Abdul Baydoun

Title

Owner

Phone

(586) 277-5985

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1477872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477872000000",
    "number": "1063964609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1225",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481211225",
            "telephone_number": "586-277-5985",
            "fax_number": "800-836-9340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13530 MICHIGAN AVE",
            "address_2": "SUITE 310",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481263574",
            "telephone_number": "586-277-5985",
            "fax_number": "800-836-9340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEXTGEN REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-31",
        "last_updated": "2016-10-31",
        "status": "A",
        "authorized_official_last_name": "BAYDOUN",
        "authorized_official_first_name": "ABDUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "586-277-5985",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chantinique Newson
• Vashti Newton
• Nextgen Diagnostics LLC
• Nextgen Legacy Holdings LLC
• Nextgen Pain Associates & Rehabilitation LLC
• Turiya Nguinea
• Brandon T Nguyen, MD
• Michael Nguyen, DMD
• Demarco D Nicholas-Johnson
• Fiona Cathrine Nicholas

• Interventional Pain Medicine Physician in Dearborn, MI
• Providers in Dearborn, MI by specialty
• Interventional Pain Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2016; 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.