Active NPI
Maryam Aghalar Physical Medicine and Rehabilitation PC
- Physical Medicine & Rehabilitation Physician
- Rego Park, NY
National Provider Identifier
1215389937
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 263923
- Legal business name
- MARYAM AGHALAR PHYSICAL MEDICINE AND REHABILITATION PC
- Practice address
- 9712 63Rd Dr Ste 1B
Rego Park, NY 11374-2245 - Phone
- (917) 957-3725
- NPI assigned
- Jul 6, 2016
- Last updated
- Feb 28, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Maryam Aghalar, D.O
- Title
- Physician
- Phone
- (917) 957-3725
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 263923 | NY | Primary |
Addresses
Primary practice location
9712 63Rd Dr Ste 1B
Rego Park, NY 11374-2245
Mailing address
46 Old Pond Rd
Great Neck, NY 11023-1031
Phone (917) 957-3725
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
200 Middle Neck Rd
Ste H
Great Neck, NY 11021
Phone (516) 313-1027
Practitioners & affiliated clinicians
Practitioners 4
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.
-
- Physical Medicine & Rehabilitation Physician
- Rego Park, NY
- NPI 1831354513
-
- Physical Therapist
- Forest Hills, NY
- NPI 1184623571
-
- Internal Medicine Physician
- Rego Park, NY
- NPI 1962582676
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1467763200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1646006400000",
"number": "1215389937",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "46 OLD POND RD",
"city": "GREAT NECK",
"state": "NY",
"postal_code": "110231031",
"telephone_number": "917-957-3725"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9712 63RD DR STE 1B",
"city": "REGO PARK",
"state": "NY",
"postal_code": "113742245",
"telephone_number": "917-957-3725"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARYAM AGHALAR PHYSICAL MEDICINE AND REHABILITATION PC",
"organizational_subpart": "NO",
"enumeration_date": "2016-07-06",
"last_updated": "2022-02-28",
"certification_date": "2022-02-28",
"status": "A",
"authorized_official_last_name": "AGHALAR",
"authorized_official_first_name": "MARYAM",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "917-957-3725",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.O"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "NY",
"license": "263923",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rego Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2022; 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.