Lakeville Comprehensive Medical Injury Care P.L.L.C

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

248529-1 Issued in NY

Legal business name

LAKEVILLE COMPREHENSIVE MEDICAL INJURY CARE P.L.L.C

Practice address

2035 Lakeville Rd Ste 300
New Hyde Park, NY 11040-1661

Phone

(516) 492-3307

Fax

(516) 492-3299

NPI assigned

Feb 9, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Jahanshah Roofeh, M.D

Title

President

Phone

(516) 358-7557

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1328745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328745600000",
    "number": "1104199942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2035 LAKEVILLE RD STE 300",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110401661",
            "telephone_number": "516-492-3307",
            "fax_number": "516-492-3299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2035 LAKEVILLE RD STE 300",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110401661",
            "telephone_number": "516-492-3307",
            "fax_number": "516-492-3299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKEVILLE COMPREHENSIVE MEDICAL INJURY CARE P.L.L.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-09",
        "last_updated": "2012-02-09",
        "status": "A",
        "authorized_official_last_name": "ROOFEH",
        "authorized_official_first_name": "JAHANSHAH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-358-7557",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "248529-1",
            "primary": true
        },
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "235820",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "A241419",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Colvender Lal, LMHC

• Physical Medicine & Rehabilitation Physician in New Hyde Park, NY
• Providers in New Hyde Park, 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 Feb 9, 2012; 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.