Organization Active NPI

Complete Rehab Medicine Care P.C.

  • Physical Medicine & Rehabilitation Physician
  • New York, NY
National Provider Identifier
1457670101
Registry record updated May 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
190946 Issued in NY
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, 2010By the provider in NPPES
Organization subpart
Yes
Parent organization
MARIA S. NAVEDO RIVERAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 20, 2010

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
60190946OtherNYLICENSE
01500669MedicaidNY

National Provider Directory

National Provider Directory

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": "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

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.

Verify at the official NPI Registry.