Staten Island Pain & Rehabilitation, P.C.

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

A-243211-1 Issued in NY

Legal business name

STATEN ISLAND PAIN & REHABILITATION, P.C.

Practice address

4247 Richmond Ave
Lower Level
Staten Island, NY 10312-6220

Phone

(718) 966-7246

Fax

(718) 966-7247

NPI assigned

Aug 24, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Jonathan Leung, D.O.

Title

President

Phone

(516) 967-6255

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1314144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325635200000",
    "number": "1508146341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4247 RICHMOND AVE",
            "address_2": "LOWER LEVEL",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103126220",
            "telephone_number": "718-966-7246",
            "fax_number": "718-966-7247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4247 RICHMOND AVE",
            "address_2": "LOWER LEVEL",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103126220",
            "telephone_number": "718-966-7246",
            "fax_number": "718-966-7247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATEN ISLAND PAIN & REHABILITATION, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-24",
        "last_updated": "2012-01-04",
        "status": "A",
        "authorized_official_last_name": "LEUNG",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-967-6255",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "A-243211-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Medicine & Rehabilitation Physician in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Physical Medicine & Rehabilitation Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 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.