Empire Joint and Spine PC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

219978 Issued in NY

Legal business name

EMPIRE JOINT AND SPINE PC

Practice address

9033 Elmhurst Ave
Jackson Heights, NY 11372-7935

Phone

(718) 457-7000

Fax

(718) 458-0397

NPI assigned

Aug 9, 2006

Organization subpart

No

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

Authorized official

Name

Richard Dauhajre, M.D.NPI 1811973241

Title

President

Phone

(646) 644-9320

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 1

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

• Richard Dauhajre, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Jackson Heights, NY
  • NPI 1811973241
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718668800000",
    "number": "1477563757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 LONGVIEW CT",
            "city": "OLD TAPPAN",
            "state": "NJ",
            "postal_code": "076757480",
            "telephone_number": "646-644-9320",
            "fax_number": "718-457-0651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9033 ELMHURST AVE",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113727935",
            "telephone_number": "718-457-7000",
            "fax_number": "718-458-0397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMPIRE JOINT AND SPINE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-09",
        "last_updated": "2024-06-18",
        "certification_date": "2024-06-18",
        "status": "A",
        "authorized_official_last_name": "DAUHAJRE",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "646-644-9320",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "219978",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02216200",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Emparedado Corona Corp.
• Empire State Medical Wellness PC
• Empire Vision Center, Inc.
• Eneida Agosto, MD PC
• Enlightenment Wellness Corp
• Susan F. Epstein, PH.D.

• Physical Medicine & Rehabilitation Physician in Jackson Heights, NY
• Providers in Jackson Heights, NY by specialty
• Physical Medicine & Rehabilitation Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2024; 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.