Long Island Physical Medicine and Rehab I, P.C.

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

168280-1 Issued in NY

Legal business name

LONG ISLAND PHYSICAL MEDICINE AND REHAB I, P.C.

Practice address

380 N Broadway Ste 307
Jericho, NY 11753-2109

Phone

(516) 933-3300

Fax

(516) 933-1039

NPI assigned

Oct 15, 2008

Last updated

Aug 18, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jay M Weiss, M.D.NPI 1598858664

Title

Owner

Phone

(516) 579-6700

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Tax ID family

Long Island Physical Medicine and Rehab I PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Long Island Physical Medicine & Rehabilitation Associates

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Levittown, NY
  • NPI 1548349384
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jay M Weiss, MD

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Levittown, NY
  • NPI 1598858664
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1224028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660780800000",
    "number": "1306098991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 UNDERHILL BLVD",
            "address_2": "SUITE 130",
            "city": "SYOSSET",
            "state": "NY",
            "postal_code": "11791",
            "telephone_number": "516-933-3300",
            "fax_number": "516-933-1039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 N BROADWAY STE 307",
            "city": "JERICHO",
            "state": "NY",
            "postal_code": "117532109",
            "telephone_number": "516-933-3300",
            "fax_number": "516-933-1039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONG ISLAND PHYSICAL MEDICINE AND REHAB I, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-15",
        "last_updated": "2022-08-18",
        "certification_date": "2022-08-18",
        "status": "A",
        "authorized_official_last_name": "WEISS",
        "authorized_official_first_name": "JAY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-579-6700",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "196772-1",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "168280-1",
            "primary": true
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "NY",
            "license": "196772-1",
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "NY",
            "license": "168280-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Valerie Dawn Litwin, MSW RCSW
• Dana M Liuzzi-Zhang, M.A. CCC-SLP
• Kristin I Lombardi, MA, BCBA, LBA
• Gianna Lombari, FNP-C
• Long Island Lcsws PLLC
• Long Island Speech Pathology Myofunctional Therapy Services P.C.
• Erin M Looi, LMHC
• Sharon Marlene Lorber, L.C.S.W.-R.
• Patricia A Lossmann X, LCSW
• Liliane Lonh Luong, RPH

• Physical Medicine & Rehabilitation Physician in Jericho, NY
• Providers in Jericho, 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 Aug 18, 2022; 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.