Premier Medical for Sport & Rehabilitation, P.C.

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

PREMIER MEDICAL FOR SPORT & REHABILITATION, P.C.

Practice address

3857 Kings Hwy
Ste 1-I
Brooklyn, NY 11234

Phone

(718) 258-7203

Fax

(718) 258-7202

NPI assigned

Nov 5, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Ahmed E. Elemam, M.D.

Title

Owner

Phone

(718) 258-7203

Specialties & licenses 2

Addresses

Tax ID family

Premier Medical for Sport Rehabilitation PC3 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.

• Premier Medical for Sport & Rehabilitation, P.C.

  • Physical Medicine & Rehabilitation Physician
  • Forest Hills, NY
  • NPI 1114255791
  NPD tax ID
• Premier Medical Sports and Rehabilitation

  • Clinic/Center
  • Merrick, NY
  • NPI 1457434102
  NPD tax ID

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

{
    "created_epoch": "1257379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257379200000",
    "number": "1366779787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 290707",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112290707",
            "telephone_number": "718-258-7203",
            "fax_number": "718-258-7202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3857 KINGS HWY",
            "address_2": "STE 1-I",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11234",
            "telephone_number": "718-258-7203",
            "fax_number": "718-258-7202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER MEDICAL FOR SPORT & REHABILITATION, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-05",
        "last_updated": "2009-11-05",
        "status": "A",
        "authorized_official_last_name": "ELEMAM",
        "authorized_official_first_name": "AHMED",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-258-7203",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Prem Pharmacy Corp.
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• Premier Anesthesia Services, PLLC
• Premier Dental,PC
• Premier Imaging Associates PLLC
• Premier Medical Supplies Inc.
• Premier Nephrology Services PC
• Premier Pediatrics
• Premier Physicians of New York PLLC
• Premier Speech and Language Therapy, PC

• Physical Medicine & Rehabilitation Physician in Brooklyn, NY
• Providers in Brooklyn, 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 Nov 5, 2009; 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.