RTM Physiatry and Psychiatry PLLC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

247349 Issued in NY

Legal business name

RTM PHYSIATRY AND PSYCHIATRY PLLC

Practice address

8916 175TH St Ste CF3
Jamaica, NY 11432-5557

Phone

(718) 487-3109

Fax

(718) 487-3081

NPI assigned

Apr 19, 2011

Organization subpart

No

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

Authorized official

Name

Thresiamma Mathew, MDNPI 1558519405

Title

Owner

Phone

(718) 646-0772

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 6

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

• Thresiamma Mathew, MD

  • Physical Medicine & Rehabilitation Physician
  • Brooklyn, NY
  • NPI 1558519405
  Medicare reassignment NPD Authorized official
• Ganesh Dudani

  • Nurse Practitioner
  • Forest Hills, NY
  • NPI 1073339974
  NPD (past)
• Trisha Gonzales, PT

  • Physical Therapist
  • Jamaica, NY
  • NPI 1639655202
  NPD (past)
• Terry Mathew, MD

  • Physical Medicine & Rehabilitation Physician
  • Jamaica, NY
  • NPI 1093197295
  NPD (past)
• Debbie A Srikishun, PTA

  • Physical Therapy Assistant
  • Jamaica, NY
  • NPI 1720573355
  NPD (past)
• Johanna Paula Paredes Sumaria

  • Physical Therapist
  • New York, NY
  • NPI 1720707714
  NPD (past)

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

{
    "created_epoch": "1303171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425772800000",
    "number": "1417247883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2430 W 3RD ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112235930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8916 175TH ST STE CF3",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114325557",
            "telephone_number": "718-487-3109",
            "fax_number": "718-487-3081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RTM PHYSIATRY AND PSYCHIATRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-19",
        "last_updated": "2015-03-08",
        "status": "A",
        "authorized_official_last_name": "MATHEW",
        "authorized_official_first_name": "THRESIAMMA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-646-0772",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "247349",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna Ella Rottersman, SOCIAL WORKER
• Carol Marie Rowan, MSW
• Treveta Rowe
• Elizabeth Royal
• Eleonora Rozengurtel, MSPT
• Elaine Ru, PA-C
• Gisel Rua
• Glenna B Rubin, PSYD
• Johanna Rubin, R.N.
• Konstantin Rubinov

• Physical Medicine & Rehabilitation Physician in Jamaica, NY
• Providers in Jamaica, 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 Mar 8, 2015; 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.