NPIMap

Organization Active NPI

Capoor Pediatric Neuromuscular Rehabilitation, PC

  • Pediatric Rehabilitation Medicine Physician
  • Elmhurst, NY
National Provider Identifier
1396887220
Registry record updated Aug 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Rehabilitation Medicine PhysicianTaxonomy code 2081P0010X
License
215693 Issued in NY
Legal business name
CAPOOR PEDIATRIC NEUROMUSCULAR REHABILITATION, PC
Practice address
94-25 59TH Avenue
Unit F7
Elmhurst, NY 11373
Phone
(718) 760-1600
Fax
(718) 760-1634
NPI assigned
Feb 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2013

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

Authorized official

Name
Dr. Jaishree Capoor, MDNPI 1063455202
Title
Physician
Phone
(917) 558-3593

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208100000X 215693 NY
Spinal Cord Injury Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2081P0004X 215693 NY
Pediatric Rehabilitation Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2081P0010X 215693 NY Primary

Addresses

Primary practice location

94-25 59TH Avenue
Unit F7
Elmhurst, NY 11373

Mailing address

404 East 66TH Street
Apt 12G
New York, NY 10021
Phone (917) 558-3593

National Provider Directory

National Provider Directory

Locations

9425 59th Ave
Unit F7
Elmhurst, NY 11373
Phone (718) 760-1600

Practitioners & affiliated clinicians

Practitioners 2

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": "1171411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376352000000",
    "number": "1396887220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 EAST 66TH STREET",
            "address_2": "APT 12G",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10021",
            "telephone_number": "917-558-3593",
            "fax_number": "646-390-3217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94-25 59TH AVENUE",
            "address_2": "UNIT F7",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "11373",
            "telephone_number": "718-760-1600",
            "fax_number": "718-760-1634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPOOR PEDIATRIC NEUROMUSCULAR REHABILITATION, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-14",
        "last_updated": "2013-08-13",
        "status": "A",
        "authorized_official_last_name": "CAPOOR",
        "authorized_official_first_name": "JAISHREE",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "917-558-3593",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "215693",
            "primary": false
        },
        {
            "code": "2081P0004X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Spinal Cord Injury Medicine",
            "state": "NY",
            "license": "215693",
            "primary": false
        },
        {
            "code": "2081P0010X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine",
            "state": "NY",
            "license": "215693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmhurst, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2013; 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.