Active NPI
Back to Health Medical PC
- Physical Medicine & Rehabilitation Physician
- Brooklyn, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 214360
- Legal business name
- BACK TO HEALTH MEDICAL PC
- Practice address
- 1729 E 12TH St
FL 4
Brooklyn, NY 11229-1088 - Phone
- (718) 998-3020
- Fax
- (718) 998-9059
- NPI assigned
- Oct 21, 2011
- Last updated
- Oct 21, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dorina Drukman, MD
- Title
- Director
- Phone
- (212) 867-0405
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 214360 | NY | Primary |
Addresses
Primary practice location
1729 E 12TH St
FL 4
Brooklyn, NY 11229-1088
Mailing address
1729 E 12TH St
FL 4
Brooklyn, NY 11229-1088
Phone (718) 998-3020
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03360405 | Medicaid | NY |
National Provider Directory
National Provider DirectoryLocations
1729 E 12th St
Fl 4
Brooklyn, NY 11229
Phone (718) 410-1500
Practitioners & affiliated clinicians
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.
-
- Physical Medicine & Rehabilitation Physician
- New York, NY
- NPI 1659346088
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1319155200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1319155200000",
"number": "1306121330",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1729 E 12TH ST",
"address_2": "FL 4",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112291088",
"telephone_number": "718-998-3020",
"fax_number": "718-998-9059"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1729 E 12TH ST",
"address_2": "FL 4",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112291088",
"telephone_number": "718-998-3020",
"fax_number": "718-998-9059"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BACK TO HEALTH MEDICAL PC",
"organizational_subpart": "NO",
"enumeration_date": "2011-10-21",
"last_updated": "2011-10-21",
"status": "A",
"authorized_official_last_name": "DRUKMAN",
"authorized_official_first_name": "DORINA",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "212-867-0405",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "NY",
"license": "214360",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03360405",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
- Back 2 Shape Physical Therapy, PLLC
- Back in Motion Group Chiropractic, OT, RN, PT, SLP PLLC
- Back on Your Feet PT, PLLC
- Back to Better Health
- Back to Brooklyn Chiropractic P.C.
- Back to Health Physical Occupational and Massage Therapy PLLC
- Back to Health Physical Therapy Associates P.C.
- Alexandra D. Back, N.P.
- Leah Backenroth
- Cathleen Beth Backer, MS.ED
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.