Beverly Rehabilitation Medical PC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

200426 Issued in NY

Legal business name

BEVERLY REHABILITATION MEDICAL PC

Practice address

263 7TH Ave
Brooklyn, NY 11215-3689

Phone

(718) 246-8702

NPI assigned

Oct 4, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Mona Elkomos-Botros, M.D.

Title

Director

Phone

(718) 363-6641

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 4

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

• Camille Eunice Rabusa Relliquete

  • Physical Therapist
  • Ridgewood, NY
  • NPI 1265231781
  NPD
• Jedd Louie Diango Rosales, RPT

  • Physical Therapy Clinic/Center
  • Ridgewood, NY
  • NPI 1205701323
  NPD
• Nikki Elline Sebastian

  • Physical Therapist
  • Ridgewood, NY
  • NPI 1699504357
  NPD
• Zenaida Salle Macalimbon

  • Physical Therapy Assistant
  • Ridgewood, NY
  • NPI 1750220885
  NPD (past)

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699920000000",
    "number": "1437245180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6900 N PECOS RD",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890864400",
            "telephone_number": "702-791-9089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "263 7TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112153689",
            "telephone_number": "718-246-8702"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6900 N Pecos Rd",
            "address_purpose": "LOCATION",
            "city": "North Las Vegas",
            "state": "NV",
            "postal_code": "890864400",
            "country_code": "US",
            "telephone_number": "702-791-9089",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BEVERLY REHABILITATION MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2023-11-14",
        "certification_date": "2023-11-14",
        "status": "A",
        "authorized_official_last_name": "ELKOMOS-BOTROS",
        "authorized_official_first_name": "MONA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "718-363-6641",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "200426",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01883352",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Betzalel Rabinowitz NP in Family Health, PLLC
• Dror Betzalel, PT, MS DPT
• Megan Beug, LCSW
• Beverley Griffith-Fenton
• Beverley Mack Harry Consulting Services Inc.
• Beverly Road Podiatry P.C.
• Joel Bevien
• Kris Bevilacqua, PH.D.
• Lisa Bevilacqua, L.AC.
• Anna Bevz, LMHC

• Physical Medicine & Rehabilitation Physician in Brooklyn, NY
• Providers in Brooklyn, 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 Nov 14, 2023; 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.