Premier Medical for Sport & Rehabilitation, P.C.

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

199870 Issued in NY

Legal business name

PREMIER MEDICAL FOR SPORT & REHABILITATION, P.C.

Practice address

11027 72ND Dr
Forest Hills, NY 11375-5513

Phone

(718) 258-7203

Fax

(718) 258-7202

NPI assigned

Nov 19, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Ahmed E. Elemam, M.D.

Title

Owner

Phone

(718) 258-7203

Specialties & licenses 2

Addresses

Tax ID family

Premier Medical for Sport Rehabilitation PC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Premier Medical for Sport & Rehabilitation, P.C.

  • Physical Medicine & Rehabilitation Physician
  • Brooklyn, NY
  • NPI 1366779787
  NPD tax ID
• Premier Medical Sports and Rehabilitation

  • Clinic/Center
  • Merrick, NY
  • NPI 1457434102
  NPD tax ID

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

{
    "created_epoch": "1258588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258588800000",
    "number": "1114255791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 290707",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112290707",
            "telephone_number": "718-258-7203",
            "fax_number": "718-258-7202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11027 72ND DR",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113755513",
            "telephone_number": "718-258-7203",
            "fax_number": "718-258-7202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER MEDICAL FOR SPORT & REHABILITATION, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-19",
        "last_updated": "2009-11-19",
        "status": "A",
        "authorized_official_last_name": "ELEMAM",
        "authorized_official_first_name": "AHMED",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-258-7203",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "199870",
            "primary": true
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "NY",
            "license": "199870",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Hazan Prager, ANP-BC
• Prava Medical, Inc.
• Preferred Health Medical Care PC
• Jana I Preis, MD, MPH
• Michelle Fran Preiss-Lowenwirt, M.D.
• Premier Pet Management of Queens LLC
• Premier Physicians of New York PLLC
• Natalie Prevost
• Hadas Pri Paz
• Corey Priam, LMHC

• Physical Medicine & Rehabilitation Physician in Forest Hills, NY
• Providers in Forest Hills, 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 19, 2009; 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.