Organization Active NPI

Division Street Medical PC

  • Physical Medicine & Rehabilitation Physician
  • New York, NY
National Provider Identifier
1417373200
Registry record updated Mar 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
232881 Issued in NY
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, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2014

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

Authorized official

Name
Gregory Silver, MDNPI 1497956429
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)CodeLicenseStatePrimary
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 Directory

Practitioners & 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.

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.

Verify at the official NPI Registry.