Advanced Multicare Medical PC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

250059 Issued in NY

Legal business name

ADVANCED MULTICARE MEDICAL PC

Doing business as

Victory MultiMed

Practice address

25 Victory Blvd
2ND Floor
Staten Island, NY 10301-2905

Phone

(718) 815-7246

Fax

(516) 706-1085

NPI assigned

Nov 24, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Mikhail J Artamonov, MD

Title

Director

Phone

(718) 815-7246

Specialties & licenses 2

Addresses

Other names 1

• Victory MultiMed Doing business as

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bindhu Sree Kakarala, P.T.

  • Physical Therapist
  • Staten Island, NY
  • NPI 1518133107
  NPD (past)
• Eric Workin, D.C.

  • Chiropractor
  • Staten Island, NY
  • NPI 1205921350
  NPD (past)

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

{
    "created_epoch": "1227484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227484800000",
    "number": "1093960676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 VICTORY BLVD",
            "address_2": "2ND FLOOR",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103012905",
            "telephone_number": "718-815-7246",
            "fax_number": "516-706-1085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 VICTORY BLVD",
            "address_2": "2ND FLOOR",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103012905",
            "telephone_number": "718-815-7246",
            "fax_number": "516-706-1085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED MULTICARE MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-24",
        "last_updated": "2008-11-24",
        "status": "A",
        "authorized_official_last_name": "ARTAMONOV",
        "authorized_official_first_name": "MIKHAIL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "718-815-7246",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "250059",
            "primary": true
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "NY",
            "license": "250059",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Victory MultiMed",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Advanced Hand & Occupational Therapy, PC
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• Advanced Hylan Dental,PC
• Advanced Life Care Planning LLC
• Advanced Medical Equipment LLC
• Advanced Podiatric Care P.C.
• Advanced Pulmonary and Sleep PC
• Advanced Rehabilitation, P.C.
• Advanced Spine Care and Pain Management of New York PC
• Advanced Surgical Arts Facility

• Physical Medicine & Rehabilitation Physician in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Physical Medicine & Rehabilitation Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2008; 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.