NPIMap

Individual provider Active NPI

Keyan Ma, MD

  • Physical Medicine & Rehabilitation Physician
  • New York, NY
National Provider Identifier
1467419945
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
226971 Issued in NY
Practice address
115 E 61St St
7E
New York, NY 10021-8183
Phone
(212) 872-1745
Fax
(212) 872-1747
NPI assigned
Apr 27, 2006
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 226971 NY Primary

Addresses

Primary practice location

115 E 61St St
7E
New York, NY 10021-8183

Mailing address

41 Robert Cir
Syosset, NY 11791-3829
Phone (516) 558-7886

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040302001038 NY Practitioner - Physical Medicine and Rehabilitation 9931096120 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Other, 1989
Medicare assignment
May accept Medicare assignment
Group practices
Dr. Ma's Manhattan Medical Rehabilitation, PCGroup PAC ID 4789738097, 2 clinicians
Dr. Ma's Medical Rehab., P.C.Group PAC ID 5092606665, 2 clinicians

Practice addresses (Care Compare)

110 E 40 St
Suite 701
New York, NY 10016-1841
Phone (212) 872-1745

110 E 40TH St
RM 701
New York, NY 10016-1821
Phone (212) 872-1745

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
226971NYMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Ma's Manhattan Medical Rehabilitation, PC CurrentSince Oct 1, 2004 Accepting new patients
Stacy P Salob MD PLLC Past Accepting new patients

Locations

110 E 40th St
Rm 701
New York, NY 10016
Phone (212) 872-1745

115 E 61st St
Ste 7E
New York, NY 10065
Phone (212) 317-1100

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1146096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1467419945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 ROBERT CIR",
            "city": "SYOSSET",
            "state": "NY",
            "postal_code": "117913829",
            "telephone_number": "516-558-7886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 E 61ST ST",
            "address_2": "7E",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100218183",
            "telephone_number": "212-872-1745",
            "fax_number": "212-872-1747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MA",
        "first_name": "KEYAN",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-27",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "226971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.