Organization Active NPI

New Concept Rehabilitation Medicine PC

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Brooklyn, NY
National Provider Identifier
1275717175
Registry record updated Sep 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
209819 Issued in NY
Legal business name
NEW CONCEPT REHABILITATION MEDICINE PC
Practice address
2583 Ocean Ave
Brooklyn, NY 11229-4521
Phone
(718) 648-1111
NPI assigned
Dec 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2012

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

Authorized official

Name
Dr. Mikhail Shapiro, DONPI 1417049123
Title
President
Phone
(718) 648-1111

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)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2081P2900X 209819 NY Primary

Addresses

Primary practice location

2583 Ocean Ave
Brooklyn, NY 11229-4521

Mailing address

16 Lamoka Ave
Staten Island, NY 10308-2025
Phone (718) 648-1111

Other identifiers 1

IdentifierTypeStateIssuer
01897194MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050914000145 NY Part B Supplier - Clinic/Group Practice 3274570288 Receives reassigned benefits from 6 practitioners
Practice locations: Brooklyn, NY; Jamaica, NY; Middle Village, NY; Bronx, NY

National Provider Directory

National Provider Directory

Locations

1840 E 14th St
Brooklyn, NY 11229
Phone (347) 286-1383

18515 HL Side Ave
Jamaica, NY 11432
Phone (718) 262-8651

18515 HL Side Ave
Jamaica, NY 11432
Phone (718) 262-8651

Practitioners & affiliated clinicians

Practitioners 8

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

NPI Registry JSON

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

{
    "created_epoch": "1198713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346976000000",
    "number": "1275717175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 LAMOKA AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103082025",
            "telephone_number": "718-648-1111",
            "fax_number": "718-648-5760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2583 OCEAN AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112294521",
            "telephone_number": "718-648-1111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW CONCEPT REHABILITATION MEDICINE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-27",
        "last_updated": "2012-09-07",
        "status": "A",
        "authorized_official_last_name": "SHAPIRO",
        "authorized_official_first_name": "MIKHAIL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-648-1111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "NY",
            "license": "209819",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01897194",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2012; 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.