Organization Active NPI

Spinal Pain &Rehab Medical PC

  • Physical Medicine & Rehabilitation Physician
  • Scarsdale, NY
National Provider Identifier
1487978482
Registry record updated Mar 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
249489-1 Issued in NY
Legal business name
SPINAL PAIN &REHAB MEDICAL PC
Practice address
455 Central Park Ave
Number 311
Scarsdale, NY 10583-1060
Phone
(914) 207-1161
Fax
(914) 207-1162
NPI assigned
Mar 18, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2010

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

Authorized official

Name
Dr. Elizabeth P Mathew, M.D.NPI 1447571393
Title
M.D.
Phone
(917) 705-6788

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X 249489-1 NY Primary

Addresses

Primary practice location

455 Central Park Ave
Number 311
Scarsdale, NY 10583-1060

Mailing address

159 South Dr
Manhasset Hills, NY 11040-2232
Phone (917) 705-6788

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1268870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268870400000",
    "number": "1487978482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "159 SOUTH DR",
            "city": "MANHASSET HILLS",
            "state": "NY",
            "postal_code": "110402232",
            "telephone_number": "917-705-6788",
            "fax_number": "914-207-1162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 CENTRAL PARK AVE",
            "address_2": "NUMBER 311",
            "city": "SCARSDALE",
            "state": "NY",
            "postal_code": "105831060",
            "telephone_number": "914-207-1161",
            "fax_number": "914-207-1162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINAL PAIN &REHAB MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-18",
        "last_updated": "2010-03-18",
        "status": "A",
        "authorized_official_last_name": "MATHEW",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "917-705-6788",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "249489-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scarsdale, NY

Sources for this page

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