NPIMap

Organization Active NPI

Post Injury Medical Treatment PC

  • Physical Medicine & Rehabilitation Physician
  • Far Rockaway, NY
National Provider Identifier
1366528861
Registry record updated Sep 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
193766 Issued in NY
Legal business name
POST INJURY MEDICAL TREATMENT PC
Practice address
17-31 Seagirt Blvd
Far Rockaway, NY 11691
Phone
(718) 471-3700
NPI assigned
Oct 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2007

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

Authorized official

Name
Shalva Adar, MD
Title
Medical Director
Phone
(718) 459-5556

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X 193766 NY Primary

Addresses

Primary practice location

17-31 Seagirt Blvd
Far Rockaway, NY 11691

Mailing address

PO Box 750423
Post Injury Medical Treatment PC
Forest Hills, NY 11375
Phone (718) 459-5556

Other identifiers 1

IdentifierTypeStateIssuer
01484808MedicaidNY

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190073600000",
    "number": "1366528861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 750423",
            "address_2": "POST INJURY MEDICAL TREATMENT PC",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "11375",
            "telephone_number": "718-459-5556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17-31 SEAGIRT BLVD",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "11691",
            "telephone_number": "718-471-3700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POST INJURY MEDICAL TREATMENT PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-27",
        "last_updated": "2007-09-18",
        "status": "A",
        "authorized_official_last_name": "ADAR",
        "authorized_official_first_name": "SHALVA",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "718-459-5556",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "193766",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01484808",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Far Rockaway, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 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.