Physical Medicine & Rehabilitation Medical Service Group

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

PHYSICAL MEDICINE & REHABILITATION MEDICAL SERVICE GROUP

Practice address

550 Harrison St
Suite 100
Syracuse, NY 13202-3188

Phone

(315) 464-6312

Fax

(315) 464-8524

NPI assigned

Sep 28, 2006

Organization subpart

No

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

Authorized official

Name

Robert J Weber, MD

Title

Chairman

Phone

(315) 464-5820

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Physical Med and Rehab Medical3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Physical Medicine & Rehab Medical Service Group

  • Physical Medicine & Rehabilitation Physician
  • Syracuse, NY
  • NPI 1336189919
  NPD tax ID
• Physical Medicine & Rehabilitation Medical Service Group

  • Physical Medicine & Rehabilitation Physician
  • Syracuse, NY
  • NPI 1275609810
  NPD tax ID

Locations

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286928000000",
    "number": "1366533812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 HARRISON ST",
            "address_2": "SUITE 100",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132023188",
            "telephone_number": "315-464-6312",
            "fax_number": "315-464-8524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 HARRISON ST",
            "address_2": "SUITE 100",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132023188",
            "telephone_number": "315-464-6312",
            "fax_number": "315-464-8524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICAL MEDICINE & REHABILITATION MEDICAL SERVICE GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-28",
        "last_updated": "2010-10-13",
        "status": "A",
        "authorized_official_last_name": "WEBER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CHAIRMAN",
        "authorized_official_telephone_number": "315-464-5820",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01156312",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rhonda Lee Philopena, MD
• Phleb Express,LLC
• Vishal Phogat, MBBS
• Physical Medicine & Rehab Medical Service Group
• Physical Medicine & Rehabilitation Medical Service Group
• Physical Therapy Unlimited of Syracuse PC
• Physicians Medical Associates New York PC
• Katlyn Piazza, FNP-C
• Delaney Picciano
• Pamula S Picciano, CFNP

• Physical Medicine & Rehabilitation Physician in Syracuse, NY
• Providers in Syracuse, 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 Oct 13, 2010; 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.