Active NPI
Division Street Medical PC
- Physical Medicine & Rehabilitation Physician
- New York, NY
National Provider Identifier
1417373200
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 232881
- Legal business name
- DIVISION STREET MEDICAL PC
- Practice address
- 915 Broadway
Suite 1106
New York, NY 10010-7108 - Phone
- (718) 520-8480
- Fax
- (718) 228-8872
- NPI assigned
- Mar 17, 2014
- Last updated
- Mar 17, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Gregory Silver, MD
- Title
- President
- Phone
- (718) 520-8480
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 232881 | NY | Primary |
Addresses
Primary practice location
915 Broadway
Suite 1106
New York, NY 10010-7108
Mailing address
10814 72ND Ave
4TH Floor
Forest Hills, NY 11375-7081
Phone (718) 520-8480
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Family Medicine Physician
- Forest Hills, NY
- NPI 1497956429
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1395014400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1395014400000",
"number": "1417373200",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10814 72ND AVE",
"address_2": "4TH FLOOR",
"city": "FOREST HILLS",
"state": "NY",
"postal_code": "113757081",
"telephone_number": "718-520-8480",
"fax_number": "718-228-8872"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "915 BROADWAY",
"address_2": "SUITE 1106",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100107108",
"telephone_number": "718-520-8480",
"fax_number": "718-228-8872"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DIVISION STREET MEDICAL PC",
"organizational_subpart": "NO",
"enumeration_date": "2014-03-17",
"last_updated": "2014-03-17",
"status": "A",
"authorized_official_last_name": "SILVER",
"authorized_official_first_name": "GREGORY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "718-520-8480",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "NY",
"license": "232881",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Mar 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.