Organization Active NPI

Rehabilitation Medicine Practice of New York, PLLC

  • Rehabilitation Clinic/Center
  • New York, NY
National Provider Identifier
1376672147
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
License
A175022-1 Issued in NY
Legal business name
REHABILITATION MEDICINE PRACTICE OF NEW YORK, PLLC
Practice address
80 Maiden LN
Suite 604
New York, NY 10038-4811
Phone
(212) 619-2610
Fax
(212) 619-2617
NPI assigned
Mar 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Robert D Kramberg, MDNPI 1154499549
Title
President
Phone
(212) 619-2610

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X A175022-1 NY Primary

Addresses

Primary practice location

80 Maiden LN
Suite 604
New York, NY 10038-4811

Mailing address

80 Maiden LN
604
New York, NY 10038-4811
Phone (212) 619-2610

Other names 1

  • rehab. medicine center of new york Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090605000409 NY Part B Supplier - Clinic/Group Practice 3476603804 Receives reassigned benefits from 4 practitioners
Practice locations: New York, NY

National Provider Directory

National Provider Directory

Locations

80 Maiden Ln
Rm 703
New York, NY 10038
Phone (212) 385-2400

80 Maiden Ln
Rm 604
New York, NY 10038
Phone (212) 619-2610

1199 Park Ave
Frnt 1A
New York, NY 10128
Phone (212) 579-7164

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1376672147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 MAIDEN LN",
            "address_2": "604",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100384811",
            "telephone_number": "212-619-2610",
            "fax_number": "212-619-2617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 MAIDEN LN",
            "address_2": "SUITE 604",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100384811",
            "telephone_number": "212-619-2610",
            "fax_number": "212-619-2617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REHABILITATION MEDICINE PRACTICE OF NEW YORK, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KRAMBERG",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-619-2610",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "NY",
            "license": "A175022-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "rehab. medicine center of new york",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.