Jolade Medical & Rehab.P.C.

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

125979 Issued in NY

Legal business name

JOLADE MEDICAL & REHAB.P.C.

Doing business as

jolade medical and rehab.p.c.

Practice address

1135 Allerton Ave
Bronx, NY 10469

Phone

(347) 427-2953

Fax

(347) 427-2953

NPI assigned

Dec 13, 2006

Last updated

Jun 29, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Thomas Omotola Teyibo, M.D

Title

Director

Phone

(347) 427-2953

Specialties & licenses 2

Addresses

Other names 1

• jolade medical and rehab.p.c. Doing business as

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.

• Latha Thanneer, MD

  • Cardiovascular Disease Physician
  • White Plains, NY
  • NPI 1306927579
  NPD (past)

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1530230400000",
    "number": "1437210119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1135 ALLERTON AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104695316",
            "telephone_number": "347-427-2953",
            "fax_number": "347-427-2953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1135 ALLERTON AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10469",
            "telephone_number": "347-427-2953",
            "fax_number": "347-427-2953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOLADE MEDICAL & REHAB.P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2018-06-29",
        "status": "A",
        "authorized_official_last_name": "TEYIBO",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "OMOTOLA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "347-427-2953",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NY",
            "license": "125979",
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NY",
            "license": "215979",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "jolade medical and rehab.p.c.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "jolade medical and rehab.p.c.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tessy Susan Johny, NP
• Gabriella Johr, PSYD
• Joice Samuel MD
• Devon Joiner, MD
• Joints in Motion Physical Therapy and Rehabilitation, PLLC
• Jolene Barnett
• Jolin RX Inc.
• Sylvia Anna Jolly, MSW
• Caroline Jennifer Jomphe, PA-C
• Marilyn Jonas Ryan

• Clinic/Center in Bronx, NY
• Providers in Bronx, NY by specialty
• Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2018; 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.