Organization Active NPI

Ny Rehab, Pain Management & Medical Services, PC

  • Physical Medicine & Rehabilitation Physician
  • Astoria, NY
National Provider Identifier
1144308511
Registry record updated Jan 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
179735 Issued in NY
Legal business name
NY REHAB, PAIN MANAGEMENT & MEDICAL SERVICES, PC
Practice address
2818 31St St
Astoria, NY 11102-1760
Phone
(718) 956-6565
Fax
(718) 956-7463
NPI assigned
Nov 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2012

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

Authorized official

Name
David Zelefsky, MD
Title
Owner
Phone
(718) 956-6565

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X X010207 NY
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X 179735 NY Primary
Durable Medical Equipment & Medical Supplies 332B00000X 179735 NY

Addresses

Primary practice location

2818 31St St
Astoria, NY 11102-1760

Mailing address

2818 31St St
Astoria, NY 11102-1760
Phone (718) 956-6565

National Provider Directory

National Provider Directory

Locations

125 N Central Ave
Valley Stream, NY 11580
Phone 5165684444201

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326585600000",
    "number": "1144308511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2818 31ST ST",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111021760",
            "telephone_number": "718-956-6565",
            "fax_number": "718-956-7463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2818 31ST ST",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111021760",
            "telephone_number": "718-956-6565",
            "fax_number": "718-956-7463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NY REHAB, PAIN MANAGEMENT & MEDICAL SERVICES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2012-01-15",
        "status": "A",
        "authorized_official_last_name": "ZELEFSKY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-956-6565",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X010207",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "179735",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NY",
            "license": "179735",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Astoria, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2012; 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.