General Medical & Rehabilitation Associates, Inc

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

GENERAL MEDICAL & REHABILITATION ASSOCIATES, INC

Practice address

9551 Bustleton Avenue
2ND Floor
Philadelphia, PA 19115-3800

Phone

(215) 698-2220

Fax

(215) 464-1808

NPI assigned

Aug 31, 2006

Organization subpart

No

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

Authorized official

Name

Boris Nemirovsky, MDNPI 1316059462

Title

Medical Director

Phone

(215) 698-2220

Specialties & licenses 1

Addresses

Other identifiers 17

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 5

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

• Boris Nemirovsky, MD

  • Physical Medicine & Rehabilitation Physician
  • Philadelphia, PA
  • NPI 1316059462
  Medicare reassignment Authorized official
• Ilya Dubrovin, DPT

  • Physical Therapist
  • Philadelphia, PA
  • NPI 1770915118
  Medicare reassignment
• Alexey Nastaskin

  • Occupational Therapist
  • Philadelphia, PA
  • NPI 1144332297
  NPD (past)
• Zoya Nastaskin, DPT

  • Physical Therapist
  • Furlong, PA
  • NPI 1245248186
  NPD (past)
• Daisy Zhao, D.C.

  • Chiropractor
  • Newtown, PA
  • NPI 1073899027
  NPD (past)

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362009600000",
    "number": "1225140387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9551 BUSTLETON AVENUE",
            "address_2": "2ND FLOOR",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191153800",
            "telephone_number": "215-698-2220",
            "fax_number": "215-464-1808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9551 BUSTLETON AVENUE",
            "address_2": "2ND FLOOR",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191153800",
            "telephone_number": "215-698-2220",
            "fax_number": "215-464-1808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENERAL MEDICAL & REHABILITATION ASSOCIATES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2013-02-28",
        "status": "A",
        "authorized_official_last_name": "NEMIROVSKY",
        "authorized_official_first_name": "BORIS",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "215-698-2220",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KHPE KH65 AMERIHEALTH HMO",
            "identifier": "0058439000",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE DME",
            "identifier": "0567260001",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1013277410001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MULTIPLAN HEALTH EOS",
            "identifier": "P11221508",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO",
            "identifier": "5444501",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARCK BCBS PIN",
            "identifier": "98916",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KHPE KH65 AMERIHEALTH HMO",
            "identifier": "2374620000",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE MERCY",
            "identifier": "1048941",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DPA GROUP",
            "identifier": "1013277410001",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NET",
            "identifier": "249697",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HORIZON",
            "identifier": "98916",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD HEALTH PLAN",
            "identifier": "P2784771",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICHOICE",
            "identifier": "0100059801",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PIN",
            "identifier": "098916T50",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DPA",
            "identifier": "0010005980001",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "0876682",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARCK BCBS",
            "identifier": "1702545",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• General David B. Birney Charter School
• General Healthcare Agency
• General Healthcare Inc.
• General Healthcare Resources, Inc
• General Heathcare Resource
• General Practice Associates LTD
• Generalhealthcare Resources
• Generalhealthcare Resources
• Generally Podiatry LLC
• Pasha Generette, MD

• Physical Medicine & Rehabilitation Physician in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Physical Medicine & Rehabilitation Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2013; 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.