NPIMap

Organization Active NPI

Medical Therapy of New York, PLLC

  • Physical Medicine & Rehabilitation Physician
  • Elizabeth, NJ
National Provider Identifier
1114350626
Registry record updated Feb 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
25MB08371100 Issued in NJ
Legal business name
MEDICAL THERAPY OF NEW YORK, PLLC
Practice address
550 N Broad St
Elizabeth, NJ 07208-3302
Phone
(917) 520-4337
NPI assigned
Aug 20, 2013
Last updated
Feb 5, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2015

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

Authorized official

Name
Henry Sardar, D.O.
Title
Owner
Phone
(917) 660-6008

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X 25MB08371100 NJ Primary
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X 242950 NY

Addresses

Primary practice location

550 N Broad St
Elizabeth, NJ 07208-3302

Mailing address

2376 E 4TH St
Brooklyn, NY 11223-5426
Phone (718) 878-4314

National Provider Directory

National Provider Directory

Locations

5911 16th Ave
#B
Brooklyn, NY 11204
Phone (718) 594-3827

201 Kings Hwy
Brooklyn, NY 11223
Phone (929) 446-4500

Practitioners & affiliated clinicians

Practitioners 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1376956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423094400000",
    "number": "1114350626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2376 E 4TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112235426",
            "telephone_number": "718-878-4314",
            "fax_number": "866-611-7203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 N BROAD ST",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072083302",
            "telephone_number": "917-520-4337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL THERAPY OF NEW YORK, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-20",
        "last_updated": "2015-02-05",
        "status": "A",
        "authorized_official_last_name": "SARDAR",
        "authorized_official_first_name": "HENRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-660-6008",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NJ",
            "license": "25MB08371100",
            "primary": true
        },
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "242950",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabeth, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 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.