Rehab Diagnostics and Pain Medicine Center, LLC

Primary specialty

Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X

License

MD066786L Issued in PA

Legal business name

REHAB DIAGNOSTICS AND PAIN MEDICINE CENTER, LLC

Practice address

2121 N Broad St
Lansdale, PA 19446-1054

Phone

(267) 428-6454

Fax

(267) 428-6457

NPI assigned

Apr 1, 2015

Last updated

Jun 19, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Yasser Gouda

Title

Owner

Phone

(267) 428-6454

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Practitioners 3

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.

• M Yasser Gouda, MD

  • Interventional Pain Medicine Physician
  • Philadelphia, PA
  • NPI 1831197946

  Physical Medicine & Rehabilitation

  Medicare reassignment NPD
• Michael Guthrie, MD

  • Physical Medicine & Rehabilitation Physician
  • Philadelphia, PA
  • NPI 1295733301
  Medicare reassignment NPD
• Joseph M Rybicki, DO

  • Family Medicine Physician
  • Philadelphia, PA
  • NPI 1225020340
  NPD (past)

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

{
    "created_epoch": "1427846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434672000000",
    "number": "1104211648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 N BROAD ST",
            "city": "LANSDALE",
            "state": "PA",
            "postal_code": "194461054",
            "telephone_number": "267-428-6454",
            "fax_number": "267-428-6457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 N BROAD ST",
            "city": "LANSDALE",
            "state": "PA",
            "postal_code": "194461054",
            "telephone_number": "267-428-6454",
            "fax_number": "267-428-6457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REHAB DIAGNOSTICS AND PAIN MEDICINE CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-01",
        "last_updated": "2015-06-19",
        "status": "A",
        "authorized_official_last_name": "GOUDA",
        "authorized_official_first_name": "YASSER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "267-428-6454",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "PA",
            "license": "MD066786L",
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "PA",
            "license": "MD066786L",
            "primary": true
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "PA",
            "license": "MD066786L",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ready Responders Pennsylvania LLC (myLaurel Medical Group PA)
• Rebecca Y Lieberman
• Clare Alyse Rech, DO
• Rediclinic LLC
• Kellsey Reed, RDN, LDN
• Dennis B. Reiff, D.C.
• Patricia Lee Reiff, MSPA,CCC-A
• Aileen Reilly
• Sarah Reimers, LCSW
• Rejoice Home Care Services LLC

• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Lansdale, PA
• Providers in Lansdale, PA by specialty
• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2015; 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.