Active NPI
Bimc Faculty Practice
- Physical Medicine & Rehabilitation Physician
- New York, NY
National Provider Identifier
1366645764
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- Legal business name
- BIMC FACULTY PRACTICE
- Practice address
- 10 Union SQ E
Suite 5N
New York, NY 10003-3314 - Phone
- (212) 844-8751
- NPI assigned
- Jun 6, 2007
- 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
- Deborah Hackett
- Title
- VP
- Phone
- (212) 256-3424
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | Primary |
Addresses
Primary practice location
10 Union SQ E
Suite 5N
New York, NY 10003-3314
Mailing address
160 Water St
20 Floor
New York, NY 10038-4922
Phone (212) 256-3539
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181088000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1328140800000",
"number": "1366645764",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "160 WATER ST",
"address_2": "20 FLOOR",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100384922",
"telephone_number": "212-256-3539"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 UNION SQ E",
"address_2": "SUITE 5N",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100033314",
"telephone_number": "212-844-8751"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BIMC FACULTY PRACTICE",
"organizational_subpart": "NO",
"enumeration_date": "2007-06-06",
"last_updated": "2012-02-02",
"status": "A",
"authorized_official_last_name": "HACKETT",
"authorized_official_first_name": "DEBORAH",
"authorized_official_title_or_position": "VP",
"authorized_official_telephone_number": "212-256-3424"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.