Organization Active NPI

Progressive Multi Specialty Care

  • Multi-Specialty Clinic/Center
  • New York, NY
National Provider Identifier
1518516079
Registry record updated Sep 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
PROGRESSIVE MULTI SPECIALTY CARE
Practice address
19 W 34TH St RM 608
New York, NY 10001-3006
Phone
(212) 244-7670
Fax
(212) 244-3174
NPI assigned
Sep 8, 2019
Last updated
Sep 8, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2019

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

Authorized official

Name
Dr. Rabin Rozehzadeh, MD
Title
Member
Phone
(212) 244-7670

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X NU
Multi-Specialty Clinic/Center 261QM1300X NU Primary
Podiatric Clinic/Center 261QP1100X NU
Radiology Clinic/Center 261QR0200X NU

Addresses

Primary practice location

19 W 34TH St RM 608
New York, NY 10001-3006

Mailing address

19 W 34TH St RM 608
New York, NY 10001-3006
Phone (212) 244-7670

Electronic endpoints 2

TypeEndpointUseAffiliation
SOAP URL ehr
SOAP URL ehr

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1567900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567900800000",
    "number": "1518516079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 W 34TH ST RM 608",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100013006",
            "telephone_number": "212-244-7670",
            "fax_number": "212-244-3174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 W 34TH ST RM 608",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100013006",
            "telephone_number": "212-244-7670",
            "fax_number": "212-244-3174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROGRESSIVE MULTI SPECIALTY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-08",
        "last_updated": "2019-09-08",
        "status": "A",
        "authorized_official_last_name": "ROZEHZADEH",
        "authorized_official_first_name": "RABIN",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "212-244-7670",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "ehr",
            "affiliation": "N",
            "endpointDescription": "electronic mediacal records",
            "address_1": "19 W 34th St Rm 608",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100013006",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "ehr",
            "affiliation": "N",
            "endpointDescription": "electronic medical records",
            "address_1": "19 W 34th St Rm 608",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100013006",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2019; 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.