Organization Active NPI

Todd R Schlifstein, DO and Jeffrey L Goldstein, DO, PLLC

  • Physical Medicine & Rehabilitation Physician
  • New York, NY
National Provider Identifier
1124273925
Registry record updated Apr 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
205272 Issued in NY
Legal business name
TODD R SCHLIFSTEIN, DO AND JEFFREY L GOLDSTEIN, DO, PLLC
Doing business as
Fountain Medical Group
Practice address
201 E 69TH St
Suite 2C
New York, NY 10021-5471
Phone
(212) 327-1316
Fax
(212) 327-1613
NPI assigned
Nov 20, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2011

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

Authorized official

Name
Todd R Schlifstein, D.O.
Title
Member
Phone
(516) 488-4411

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207P00000X 217381 NY
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X 205272 NY Primary

Addresses

Primary practice location

201 E 69TH St
Suite 2C
New York, NY 10021-5471

Mailing address

201 E 69TH St
Suite 2C
New York, NY 10021-5471
Phone (212) 327-1316

Other names 1

  • Fountain Medical Group Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1227139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302825600000",
    "number": "1124273925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 E 69TH ST",
            "address_2": "SUITE 2C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100215471",
            "telephone_number": "212-327-1316",
            "fax_number": "212-327-1613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 E 69TH ST",
            "address_2": "SUITE 2C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100215471",
            "telephone_number": "212-327-1316",
            "fax_number": "212-327-1613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TODD R SCHLIFSTEIN, DO AND JEFFREY L GOLDSTEIN, DO, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-20",
        "last_updated": "2011-04-15",
        "status": "A",
        "authorized_official_last_name": "SCHLIFSTEIN",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "516-488-4411",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "217381",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "205272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fountain Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2011; 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.