Organization Active NPI

Q Medical Rehab, P.C.

  • Rehabilitation Clinic/Center
  • Merrick, NY
National Provider Identifier
1104293976
Registry record updated Aug 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
License
241419 Issued in NY
Legal business name
Q MEDICAL REHAB, P.C.
Practice address
1955 Merrick Rd Ste 105
Merrick, NY 11566-4615
Phone
(917) 727-7826
Fax
(516) 567-0691
NPI assigned
Aug 27, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2015

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

Authorized official

Name
Dr. Lam Cu Quan, M.D.
Title
President
Phone
(917) 727-7826

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X 241419 NY Primary

Addresses

Primary practice location

1955 Merrick Rd Ste 105
Merrick, NY 11566-4615

Mailing address

27 Sunnyside Blvd
Plainview, NY 11803-1510
Phone (917) 727-7826

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1440633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440633600000",
    "number": "1104293976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 SUNNYSIDE BLVD",
            "city": "PLAINVIEW",
            "state": "NY",
            "postal_code": "118031510",
            "telephone_number": "917-727-7826",
            "fax_number": "516-576-0691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1955 MERRICK RD STE 105",
            "city": "MERRICK",
            "state": "NY",
            "postal_code": "115664615",
            "telephone_number": "917-727-7826",
            "fax_number": "516-567-0691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "Q MEDICAL REHAB, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-27",
        "last_updated": "2015-08-27",
        "status": "A",
        "authorized_official_last_name": "QUAN",
        "authorized_official_first_name": "LAM",
        "authorized_official_middle_name": "CU",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-727-7826",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "NY",
            "license": "241419",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Merrick, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2015; 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.