Active NPI
Dr. Ma's Medical Rehab., P.C.
- Sports Medicine (Physical Medicine & Rehabilitation) Physician
- Flushing, NY
National Provider Identifier
1508040650
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Physical Medicine & Rehabilitation) Physician
- License
- 226971
- Legal business name
- DR. MA'S MEDICAL REHAB., P.C.
- Practice address
- 13620 38 Ave
6M
Flushing, NY 11354 - Phone
- (718) 888-1513
- Fax
- (718) 514-7031
- NPI assigned
- Dec 26, 2007
- Last updated
- Apr 20, 2008
- 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. Keyan Ma, M.D.
- Title
- Doctor
- Phone
- (718) 888-1513
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 |
|---|---|---|---|---|
| Sports Medicine (Physical Medicine & Rehabilitation) Physician | 2081S0010X | 226971 | NY | Primary |
Addresses
Primary practice location
13620 38 Ave
6M
Flushing, NY 11354
Mailing address
41 Robert Cir
Syosset, NY 11791-3829
Phone (516) 558-7886
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
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, and the practitioner matching its NPPES authorized official.
-
- Physical Medicine & Rehabilitation Physician
- New York, NY
- NPI 1467419945
-
- Physical Medicine & Rehabilitation Physician
- New York, NY
- NPI 1124466073
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1198627200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1208649600000",
"number": "1508040650",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "41 ROBERT CIR",
"city": "SYOSSET",
"state": "NY",
"postal_code": "117913829",
"telephone_number": "516-558-7886"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13620 38 AVE",
"address_2": "6M",
"city": "FLUSHING",
"state": "NY",
"postal_code": "11354",
"telephone_number": "718-888-1513",
"fax_number": "718-514-7031"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DR. MA'S MEDICAL REHAB., P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2007-12-26",
"last_updated": "2008-04-20",
"status": "A",
"authorized_official_last_name": "MA",
"authorized_official_first_name": "KEYAN",
"authorized_official_title_or_position": "DOCTOR",
"authorized_official_telephone_number": "718-888-1513",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "2081S0010X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation, Sports Medicine",
"state": "NY",
"license": "226971",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Flushing, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.