NPIMap

Organization Active NPI

Prime Medical & Rehab. P.C.

  • Preferred Provider Organization
  • Flushing, NY
National Provider Identifier
1174692636
Registry record updated Apr 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
214985 Issued in NY
Legal business name
PRIME MEDICAL & REHAB. P.C.
Doing business as
Prime Medical & Rehab. P.C.
Practice address
15319 Union Tpke
Flushing, NY 11367-3943
Phone
(718) 380-8200
Fax
(718) 380-5381
NPI assigned
Nov 7, 2006
Last updated
Apr 9, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2008

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

Authorized official

Name
Dr. Ayman Hadhoud, M.D.NPI 1437267044
Title
M.D.
Phone
(718) 380-8200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X 214985 NY Primary

Addresses

Primary practice location

15319 Union Tpke
Flushing, NY 11367-3943

Mailing address

15319 Union Tpke
Flushing, NY 11367-3943
Phone (718) 380-8200

Other names 1

  • Prime Medical & Rehab. P.C. Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1162857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207699200000",
    "number": "1174692636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15319 UNION TPKE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113673943",
            "telephone_number": "718-380-8200",
            "fax_number": "718-380-5381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15319 UNION TPKE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113673943",
            "telephone_number": "718-380-8200",
            "fax_number": "718-380-5381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME MEDICAL & REHAB. P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-07",
        "last_updated": "2008-04-09",
        "status": "A",
        "authorized_official_last_name": "HADHOUD",
        "authorized_official_first_name": "AYMAN",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "718-380-8200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "NY",
            "license": "214985",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prime Medical & Rehab. P.C.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Flushing, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2008; 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.