Organization Active NPI

New Era Medicine PLLC

  • Physical Medicine & Rehabilitation Physician
  • Staten Island, NY
National Provider Identifier
1487853503
Registry record updated Jun 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
197816 Issued in NY
Legal business name
NEW ERA MEDICINE PLLC
Practice address
1428 Victory Blvd
Staten Island, NY 10301-3908
Phone
(866) 715-1727
Fax
(866) 715-1727
NPI assigned
Jul 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2012

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

Authorized official

Name
Dr. Ruth Anne Reid-Thornton, MD
Title
Medical Director
Phone
(866) 715-1727

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X 197816 NY Primary

Addresses

Primary practice location

1428 Victory Blvd
Staten Island, NY 10301-3908

Mailing address

26 Scribner Ave
Staten Island, NY 10301-2316
Phone (866) 715-1727

National Provider Directory

National Provider Directory

Locations

1428 Victory Blvd
Staten Island, NY 10301
Phone (718) 698-3055

NPI Registry JSON

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

{
    "created_epoch": "1184716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340323200000",
    "number": "1487853503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 SCRIBNER AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103012316",
            "telephone_number": "866-715-1727",
            "fax_number": "866-715-1727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1428 VICTORY BLVD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103013908",
            "telephone_number": "866-715-1727",
            "fax_number": "866-715-1727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW ERA MEDICINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-18",
        "last_updated": "2012-06-22",
        "status": "A",
        "authorized_official_last_name": "REID-THORNTON",
        "authorized_official_first_name": "RUTH",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "866-715-1727",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "197816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2012; 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.