North Shore Medical Rehabilitation, PC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

NORTH SHORE MEDICAL REHABILITATION, PC

Practice address

8371 116TH St
Suite M2
Richmond Hill, NY 11418-3448

Phone

(718) 441-5700

Fax

(718) 441-5337

NPI assigned

Jul 5, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Glenn Jakobsen, DONPI 1851332753

Title

Owner/President

Phone

(718) 441-5700

Specialties & licenses 1

Addresses

Practitioners 3

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.

• Glenn Jakobsen, D.O.

  • Physical Medicine & Rehabilitation Physician
  • Richmond Hill, NY
  • NPI 1851332753
  Authorized official Same address or phone
• Shruti Datta, DC

  • Chiropractor
  • Richmond Hill, NY
  • NPI 1740331982
  NPD (past)
• Jeremiah Guadez Lopez

  • Physical Therapist
  • Richmond Hill, NY
  • NPI 1497834832
  NPD (past)

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508976000000",
    "number": "1508897273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8371 116TH ST",
            "address_2": "SUITE M2",
            "city": "RICHMOND HILL",
            "state": "NY",
            "postal_code": "114183448",
            "telephone_number": "718-441-5700",
            "fax_number": "718-441-5337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8371 116TH ST",
            "address_2": "SUITE M2",
            "city": "RICHMOND HILL",
            "state": "NY",
            "postal_code": "114183448",
            "telephone_number": "718-441-5700",
            "fax_number": "718-441-5337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH SHORE MEDICAL REHABILITATION, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-05",
        "last_updated": "2017-10-26",
        "status": "A",
        "authorized_official_last_name": "JAKOBSEN",
        "authorized_official_first_name": "GLENN",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "718-441-5700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diana Nizhnikov
• Muleka Nkunda, RN
• Alison Nocco, SLP
• Samrah Noreen
• North Shore Hematology Oncology Associates PC (New York Health)
• North Shore Primary Care P.C.
• Tanisha Northington
• Olga Novojilov, MS ED
• Ora Nusbaum
• Elie Nwefo, MD

• Physical Medicine & Rehabilitation Physician in Richmond Hill, NY
• Providers in Richmond Hill, 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 Oct 26, 2017; 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.