DRD Medical PC

Primary specialty

Pain Medicine PhysicianTaxonomy code 208VP0000X

License

225074-1 Issued in NY

Legal business name

DRD MEDICAL PC

Practice address

271 Madison Ave
Suite 1601
New York, NY 10016-1001

Phone

(212) 682-2750

Fax

(212) 682-6588

NPI assigned

May 21, 2007

Organization subpart

No

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

Authorized official

Name

Dr. David Randall Dynof, M.D.NPI 1912908989

Title

Medical Director

Phone

(917) 207-8490

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David Randall Dynof, MD

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Shirley, NY
  • NPI 1912908989
  Medicare reassignment NPD Authorized official
• Judson Krosney, MD

  • Emergency Medicine Physician
  • Pembroke Pines, FL
  • NPI 1831131028

  NY

  Medicare reassignment NPD
• Alexandra Rose Cox, LMT

  • Massage Therapist
  • Yonkers, NY
  • NPI 1770289001
  NPD
• Woochan Cho, R.P.T., M.S.

  • Physical Therapist
  • New York, NY
  • NPI 1679799274
  NPD (past)
• Ahra Jo

  • Physical Therapist
  • New York, NY
  • NPI 1225580939
  NPD (past)
• Mi-Jeong Kim

  • Physical Therapist
  • New York, NY
  • NPI 1548486145
  NPD (past)
• Nirmala M Reddy, MD

  • Psychiatry Physician
  • Yonkers, NY
  • NPI 1053453654
  NPD (past)
• Maciej Skala, PT

  • Physical Therapist
  • New York, NY
  • NPI 1417373234
  NPD (past)

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1205045853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 E 70TH ST",
            "address_2": "APT 1103",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100215387",
            "telephone_number": "917-207-8490",
            "fax_number": "212-737-0085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "271 MADISON AVE",
            "address_2": "SUITE 1601",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100161001",
            "telephone_number": "212-682-2750",
            "fax_number": "212-682-6588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRD MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DYNOF",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "RANDALL",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "917-207-8490",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "NY",
            "license": "225074-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "225074-4W",
            "identifier": "WORKER COMPENSATION",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Deborah A. Draving, PHD
• Burton Drayer, MD
• Jeanine Drayton
• Dan Draytsel
• Drcresolo Consulting LLC
• Dream Medical PLLC
• Dream Physical Therapy P.C.
• Dream Smile LLC
• Dreamon Anesthesia, PC
• Joshua Dredze, PSY.D.

• Pain Medicine Physician in New York, NY
• Providers in New York, NY by specialty
• Pain Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.