Active NPI
Spinal Pain &Rehab Medical PC
- Physical Medicine & Rehabilitation Physician
- Scarsdale, NY
National Provider Identifier
1487978482
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 249489-1
- 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
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.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 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 DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Medicine & Rehabilitation Physician
- Bellerose, NY
- NPI 1447571393
-
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Yonkers, NY
- NPI 1346334604
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.