NPIMap

Organization Active NPI

Optimal Physical Medicine and Rehabilitation of New York City PC.

  • Physical Medicine & Rehabilitation Physician
  • Flushing, NY
National Provider Identifier
1437470986
Registry record updated Dec 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
212598 Issued in NY
Legal business name
OPTIMAL PHYSICAL MEDICINE AND REHABILITATION OF NEW YORK CITY PC.
Practice address
4233 Kissena Blvd
#1A
Flushing, NY 11355-3241
Phone
(718) 888-7122
Fax
(718) 888-7172
NPI assigned
Jun 18, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2015

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

Authorized official

Name
Lihua Mo, M.D.NPI 1215956354
Title
Physician
Phone
(718) 888-7122

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 PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X 212598 NY Primary

Addresses

Primary practice location

4233 Kissena Blvd
#1A
Flushing, NY 11355-3241

Mailing address

4233 Kissena Blvd
#1A
Flushing, NY 11355-3241
Phone (718) 888-7122

Other identifiers 1

IdentifierTypeStateIssuer
02234393MedicaidNY

National Provider Directory

National Provider Directory

Locations

4233 Kissena Blvd
Ste 1B
Flushing, NY 11355
Phone (646) 644-8889

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": "1276819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449619200000",
    "number": "1437470986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4233 KISSENA BLVD",
            "address_2": "#1A",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113553241",
            "telephone_number": "718-888-7122",
            "fax_number": "718-888-7172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4233 KISSENA BLVD",
            "address_2": "#1A",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113553241",
            "telephone_number": "718-888-7122",
            "fax_number": "718-888-7172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMAL PHYSICAL MEDICINE AND REHABILITATION OF NEW YORK CITY PC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-18",
        "last_updated": "2015-12-09",
        "status": "A",
        "authorized_official_last_name": "MO",
        "authorized_official_first_name": "LIHUA",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "718-888-7122",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "212598",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02234393",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2015; 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.