Active NPI
Complete Rehab Medicine Care P.C.
- Physical Medicine & Rehabilitation Physician
- New York, NY
National Provider Identifier
1457670101
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 190946
- Legal business name
- COMPLETE REHAB MEDICINE CARE P.C.
- Practice address
- 130 Wadsworth Ave Apt 4
New York, NY 10033-4823 - Phone
- (212) 928-5959
- Fax
- (212) 928-5189
- NPI assigned
- May 20, 2010
- Last updated
- May 20, 2010
- Organization subpart
- Yes
- Parent organization
- MARIA S. NAVEDO RIVERA
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Yokaira Duverge
- Title
- Manager
- Phone
- (718) 205-4911
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 190946 | NY | Primary |
Addresses
Primary practice location
130 Wadsworth Ave Apt 4
New York, NY 10033-4823
Mailing address
250 S End Ave Apt 6C
New York, NY 10280-1076
Phone (718) 205-4911
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 60190946 | Other | NY | LICENSE |
| 01500669 | Medicaid | NY |
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Physical Medicine & Rehabilitation Physician
- Jackson Heights, NY
- NPI 1922028745
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1274313600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1274313600000",
"number": "1457670101",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 S END AVE APT 6C",
"city": "NEW YORK",
"state": "NY",
"postal_code": "102801076",
"telephone_number": "718-205-4911",
"fax_number": "718-205-5946"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 WADSWORTH AVE APT 4",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100334823",
"telephone_number": "212-928-5959",
"fax_number": "212-928-5189"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMPLETE REHAB MEDICINE CARE P.C.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "MARIA S. NAVEDO RIVERA",
"enumeration_date": "2010-05-20",
"last_updated": "2010-05-20",
"status": "A",
"authorized_official_last_name": "DUVERGE",
"authorized_official_first_name": "YOKAIRA",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "718-205-4911"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "NY",
"license": "190946",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "60190946",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01500669",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
- Complete Dermatology and Skin Care PLLC
- Complete Dermatology Care, PC
- Complete Medical Care Services of New York, PC (Complete Care)
- Complete Podiatry PLLC
- Complete Podiatry Services, P.C.
- Complete Skin & Laser Surgery PC
- Complete Solutions for Life,Inc
- Complete Wellness Medical PC
- Complex Care Anesthesia
- Complex Care Solutions
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.