North Shore Physical Medicine and Rehabilitation Services, PC

Primary specialty

Rehabilitation PractitionerTaxonomy code 225400000X

License

167868-1 Issued in NY

Legal business name

NORTH SHORE PHYSICAL MEDICINE AND REHABILITATION SERVICES, PC

Practice address

4 Expressway PLZ
Ste 110
Roslyn Heights, NY 11577-2059

Phone

(516) 621-4062

Fax

(516) 621-1848

NPI assigned

Feb 2, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Barry C. Root, MD

Title

Owner President

Phone

(516) 621-4062

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Dale Alexander, MD

  • Legal Medicine
  • Brooklyn, NY
  • NPI 1023185659
  NPD

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225929600000",
    "number": "1255479119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1357",
            "city": "BAYVILLE",
            "state": "NY",
            "postal_code": "117090357",
            "telephone_number": "516-794-4161",
            "fax_number": "516-794-9568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 EXPRESSWAY PLZ",
            "address_2": "STE 110",
            "city": "ROSLYN HEIGHTS",
            "state": "NY",
            "postal_code": "115772059",
            "telephone_number": "516-621-4062",
            "fax_number": "516-621-1848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH SHORE PHYSICAL MEDICINE AND REHABILITATION SERVICES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-02",
        "last_updated": "2008-11-06",
        "status": "A",
        "authorized_official_last_name": "ROOT",
        "authorized_official_first_name": "BARRY",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "516-621-4062",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Rehabilitation Practitioner",
            "state": "NY",
            "license": "167868-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• North Shore Contact Lens & Vision Consultants PC
• North Shore Counseling and LCSW Services PC
• North Shore Geriatric Psychiatry
• North Shore Learning
• North Shore Occupational Therapy
• Northshore Hospitalist Associates PLLC
• Brooke Novick, LMFT
• Sondra Beth Nussbaum, MS CCC SLP
• Nutrosun LLC
• NYU Langone Hospitals (NYU Langone Hospital Long Island)

• Rehabilitation Practitioner in Roslyn Heights, NY
• Providers in Roslyn Heights, NY by specialty
• Rehabilitation Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2008; 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.