Physiatry Practice of New York, PC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

PHYSIATRY PRACTICE OF NEW YORK, PC

Practice address

785 Mamaroneck Ave
White Plains, NY 10605-2523

Phone

(877) 749-7428

Fax

(512) 628-3314

NPI assigned

Jun 2, 2023

Organization subpart

No

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

Authorized official

Name

Jason Georgekutty, DONPI 1053750299

Title

Ceo

Phone

(877) 749-7428

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 7

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

• Jason Georgekutty, D.O.

  • Physical Medicine & Rehabilitation Physician
  • White Plains, NY
  • NPI 1053750299
  Medicare reassignment Care Compare group NPD Authorized official
• Mandy Berry, FNP

  • Family Nurse Practitioner
  • Briarcliff Manor, NY
  • NPI 1306240924
  Medicare reassignment Care Compare group NPD
• Hossien Dahdouli, APN

  • Adult Health Nurse Practitioner
  • Mohegan Lake, NY
  • NPI 1821719410
  Medicare reassignment Care Compare group NPD
• Lena Lulaj, AGNP

  • Adult Health Nurse Practitioner
  • Briarcliff Manor, NY
  • NPI 1285408708

  Physical Medicine & Rehabilitation

  Medicare reassignment Care Compare group NPD
• Rhomanda A Baron-Saine, FNP

  • Family Nurse Practitioner
  • Port Chester, NY
  • NPI 1770355638
  Medicare reassignment NPD
• Kimberly Anne Kelly, FNP

  • Family Nurse Practitioner
  • Yorktown Heights, NY
  • NPI 1083252878
  Medicare reassignment NPD
• Atinder Nijjar, DO

  • Physical Medicine & Rehabilitation Physician
  • White Plains, NY
  • NPI 1558942813
  Medicare reassignment NPD

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

{
    "created_epoch": "1685664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687996800000",
    "number": "1245923317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1776 WOODSTEAD CT STE 208",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773801480",
            "telephone_number": "877-749-7428",
            "fax_number": "512-628-3314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "785 MAMARONECK AVE",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106052523",
            "telephone_number": "877-749-7428",
            "fax_number": "512-628-3314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSIATRY PRACTICE OF NEW YORK, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-02",
        "last_updated": "2023-06-29",
        "certification_date": "2023-06-29",
        "status": "A",
        "authorized_official_last_name": "GEORGEKUTTY",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "877-749-7428",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Philip Zuckerman, MD, PC
• Emily M Philip, PA-C
• Asani Ivor Phillips, MD
• Evelena A. Phillips, SLP
• Phyllis a Sattler Mental Health Counseling PLLC
• Physician Monitoring Services LLC
• Tyler Pia, PHD
• Marissa Piatok
• Beverley Elizabeth Picart, PT
• Courtney Picciano

• Physical Medicine & Rehabilitation Physician in White Plains, NY
• Providers in White Plains, NY by specialty
• Physical Medicine & Rehabilitation Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2023; 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.