Organization Active NPI

Kanter Physical Medicine & Rehab PC

  • Physical Medicine & Rehabilitation Physician
  • Richmond Hill, NY
National Provider Identifier
1417214966
Registry record updated Apr 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
KANTER PHYSICAL MEDICINE & REHAB PC
Practice address
10509 Jamaica Ave
Richmond Hill, NY 11418-2014
Phone
(718) 441-3211
Fax
(718) 441-3744
NPI assigned
Apr 20, 2012
Last updated
Apr 20, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2012

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

Authorized official

Name
Miriam E Kanter, MDNPI 1083639579
Title
Pres
Phone
(718) 441-3211

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
Physical Medicine & Rehabilitation Physician 208100000X NU Primary

Addresses

Primary practice location

10509 Jamaica Ave
Richmond Hill, NY 11418-2014

Mailing address

10509 Jamaica Ave
Richmond Hill, NY 11418-2014
Phone (718) 441-3211

Other identifiers 1

IdentifierTypeStateIssuer
196026-1OtherNYSTATE LICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120521000344 NY Part B Supplier - Clinic/Group Practice 5698938199 Receives reassigned benefits from 5 practitioners
Practice locations: Richmond Hill, NY

National Provider Directory

National Provider Directory

Locations

10509 Jamaica Ave
Ste C
Richmond Hill, NY 11418
Phone (718) 441-3211

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1334880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334880000000",
    "number": "1417214966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10509 JAMAICA AVE",
            "city": "RICHMOND HILL",
            "state": "NY",
            "postal_code": "114182014",
            "telephone_number": "718-441-3211",
            "fax_number": "718-441-3744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10509 JAMAICA AVE",
            "city": "RICHMOND HILL",
            "state": "NY",
            "postal_code": "114182014",
            "telephone_number": "718-441-3211",
            "fax_number": "718-441-3744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KANTER PHYSICAL MEDICINE & REHAB PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-20",
        "last_updated": "2012-04-20",
        "status": "A",
        "authorized_official_last_name": "KANTER",
        "authorized_official_first_name": "MIRIAM",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "718-441-3211",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "196026-1",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond Hill, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2012; 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.