Organization Active NPI

Rim Medical PC

  • Chiropractor
  • Brooklyn, NY
National Provider Identifier
1356489173
Registry record updated Sep 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
RIM MEDICAL PC
Practice address
2818 Ocean Ave Ste 1
Brooklyn, NY 11235-3170
Phone
(718) 934-8484
Fax
(718) 934-4267
NPI assigned
Feb 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2007

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

Authorized official

Name
Dr. Michael Riskevich, M.D., D.O
Title
Manager
Phone
(718) 934-8484

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X Primary
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X
Legal MedicineGroup: 193200000X MULTI-SPECIALTY GROUP 173000000X
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X

Addresses

Primary practice location

2818 Ocean Ave Ste 1
Brooklyn, NY 11235-3170

Mailing address

2818 Ocean Ave Ste 1
Brooklyn, NY 11235-3170
Phone (718) 934-8484

Other identifiers 1

IdentifierTypeStateIssuer
02472140MedicaidNY

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190851200000",
    "number": "1356489173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2818 OCEAN AVE STE 1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112353170",
            "telephone_number": "718-934-8484",
            "fax_number": "718-934-4267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2818 OCEAN AVE STE 1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112353170",
            "telephone_number": "718-934-8484",
            "fax_number": "718-934-4267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIM MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-02",
        "last_updated": "2007-09-27",
        "status": "A",
        "authorized_official_last_name": "RISKEVICH",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "718-934-8484",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D., D.O"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "173000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Legal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02472140",
            "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 27, 2007; 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.