Prestige Medical & Rehabilitation Center, P.C.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

25MA0726200 Issued in NJ

Legal business name

PRESTIGE MEDICAL & REHABILITATION CENTER, P.C.

Practice address

80 E Ridgewood Ave Ste 4
Paramus, NJ 07652-3625

Phone

(201) 265-5000

Fax

(201) 265-5003

NPI assigned

Jun 26, 2006

Organization subpart

No

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

Authorized official

Name

Dana B Gellis, MDNPI 1477500577

Title

President

Phone

(201) 265-5000

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 2

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

• Dana B Gellis, MD

  • Internal Medicine Physician
  • Paramus, NJ
  • NPI 1477500577
  Medicare reassignment Care Compare group NPD Authorized official
• Nikolai Pushnya, PT

  • Physical Therapist
  • Paramus, NJ
  • NPI 1407886633
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525132800000",
    "number": "1477580744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 E RIDGEWOOD AVE STE 4",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076523625",
            "telephone_number": "201-265-5000",
            "fax_number": "201-265-5003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 E RIDGEWOOD AVE STE 4",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076523625",
            "telephone_number": "201-265-5000",
            "fax_number": "201-265-5003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESTIGE MEDICAL & REHABILITATION CENTER, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-26",
        "last_updated": "2018-05-01",
        "status": "A",
        "authorized_official_last_name": "GELLIS",
        "authorized_official_first_name": "DANA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-265-5000",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA0726200",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00873600",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yathyra Portilla, LMT
• Positive Perspective Therapy, LLC
• Post Acute Recovery, Inc.
• Kimberly Lynn Power, CMT
• PPS of NJ LLC
• Danielle Marie Pretto, LMT
• Preventive Plus P.a.
• Preventiveplus
• Robyn M Preziosi, NURSE PRACTITIONER
• Tiffany Price-Bolden

• Internal Medicine Physician in Paramus, NJ
• Providers in Paramus, NJ by specialty
• Internal Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2018; 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.