Ny Mobile Rehab LLC

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

NY MOBILE REHAB LLC

Doing business as

crystal adult day care center

Practice address

13829 Queens Blvd
Jamaica, NY 11435-2641

Phone

(917) 470-4720

NPI assigned

Oct 19, 2017

Last updated

Jun 16, 2018By the provider in NPPES

Organization subpart

Yes

Parent organization

NY MOBILE REHAB LLCAs reported in NPPES

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

Authorized official

Name

Mariya Gurg

Title

Ceo

Phone

(917) 373-5913

Specialties & licenses 1

Addresses

Other names 1

• crystal adult day care center Doing business as

Tax ID family

Ny Mobile Rehab LLC2 organizations share this tax ID, including this one

Part of

Ny Mobile Rehab LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Ny Mobile Rehab LLC

  • Rehabilitation Clinic/Center
  • Forest Hills, NY
  • NPI 1831600741
  NPD tax ID

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Ny Mobile Rehab LLC

  • Rehabilitation Clinic/Center
  • Forest Hills, NY
  • NPI 1831600741
  NPPES parent name

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

{
    "created_epoch": "1508371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1215448022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11044 65TH AVE",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113751422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13829 QUEENS BLVD",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114352641",
            "telephone_number": "917-470-4720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NY MOBILE REHAB LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NY MOBILE REHAB LLC",
        "enumeration_date": "2017-10-19",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "GURG",
        "authorized_official_first_name": "MARIYA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "917-373-5913"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "crystal adult day care center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mohammed Nuruddin, RPH
• Nutritionbyval LLC
• Emilia Ureh Nwachukwu, FNP
• Angela Nneka Nwaka
• Ny Medical Physicians PC
• Ny Presbyterian-Queens
• Ny Pulmonary & Sleep PLLC
• Ny Senior Services Inc
• Nyarc Inc Nyc Chapter (Ahrc New York City)
• Nyc Advanced Footcare PC

• Adult Day Care Clinic/Center in Jamaica, NY
• Providers in Jamaica, NY by specialty
• Adult Day Care Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.