Sports Medicine & Spine Rehab, PC

Primary specialty

Sports Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081S0010X

License

198594 Issued in NY

Legal business name

SPORTS MEDICINE & SPINE REHAB, PC

Practice address

160 N Franklin St
Hempstead, NY 11550-1317

Phone

(516) 485-5060

Fax

(516) 485-4946

NPI assigned

Jan 31, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Joseph George Gregorace, DONPI 1467504076

Title

Medical Director

Phone

(516) 485-5060

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 5

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

• Joseph Gregorace, D.O.

  • Sports Medicine (Physical Medicine & Rehabilitation) Physician
  • Bellmore, NY
  • NPI 1467504076
  Medicare reassignment NPD Authorized official
• Silvia Gina Geraci, D.O.

  • Physical Medicine & Rehabilitation Physician
  • Babylon, NY
  • NPI 1265696694
  Medicare reassignment NPD
• Bliss Sharon S Tejano

  • Physical Therapist
  • New York, NY
  • NPI 1508166182
  Medicare reassignment NPD
• Eliseo G Oliverio Jr.

  • Physical Therapist
  • Bellmore, NY
  • NPI 1790321289
  Medicare reassignment
• Ismael M Mendoza, P.T.

  • Physical Therapist
  • Long Island City, NY
  • NPI 1417925454
  NPD

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1457498180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 WHITNEY ST",
            "city": "WESTBURY",
            "state": "NY",
            "postal_code": "115901831",
            "telephone_number": "516-333-1452",
            "fax_number": "516-876-1038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 N FRANKLIN ST",
            "city": "HEMPSTEAD",
            "state": "NY",
            "postal_code": "115501317",
            "telephone_number": "516-485-5060",
            "fax_number": "516-485-4946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPORTS MEDICINE & SPINE REHAB, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GREGORACE",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "GEORGE",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "516-485-5060",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "2081S0010X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "NY",
            "license": "198594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Peter Spiak, MHC-LP
• Ashlee Springer, RN, WHNP-BC
• Shriya Sridhar, MBBS
• Jessica Staco
• Samuel Stampley III, ATC, PES, CES
• Alexandra Stanton, LCSW

• Sports Medicine (Physical Medicine & Rehabilitation) Physician in Hempstead, NY
• Providers in Hempstead, NY by specialty
• Sports Medicine (Physical Medicine & Rehabilitation) Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.