Organization Active NPI

Dr. Ma'S Manhattan Medical Rehabilitation, PC

  • Sports Medicine (Physical Medicine & Rehabilitation) Physician
  • New York, NY
National Provider Identifier
1528201522
Registry record updated Apr 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081S0010X
License
226971 Issued in NY
Legal business name
DR. MA'S MANHATTAN MEDICAL REHABILITATION, PC
Practice address
115 E 61St St
Suite 7E
New York, NY 10065-8183
Phone
(212) 872-1745
Fax
(212) 872-1747
NPI assigned
Apr 7, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2009

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

Authorized official

Name
Dr. Keyan Ma, M.D.NPI 1467419945
Title
Doctor
Phone
(212) 872-1745

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)CodeLicenseStatePrimary
Sports Medicine (Physical Medicine & Rehabilitation) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2081S0010X 226971 NY Primary

Addresses

Primary practice location

115 E 61St St
Suite 7E
New York, NY 10065-8183

Mailing address

115 E 61St St
Suite 7E
New York, NY 10065-8183
Phone (212) 872-1745

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090821000065 NY Part B Supplier - Clinic/Group Practice 4789738097 Receives reassigned benefits from 2 practitioners
Practice locations: New York, NY

National Provider Directory

National Provider Directory

Locations

3616 Main St
Fl 9
Flushing, NY 11354
Phone (718) 888-1513

115 E 61st St
Ste 7E
New York, NY 10065
Phone (212) 317-1100

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1239062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239062400000",
    "number": "1528201522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 E 61ST ST",
            "address_2": "SUITE 7E",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100658183",
            "telephone_number": "212-872-1745",
            "fax_number": "212-872-1747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 E 61ST ST",
            "address_2": "SUITE 7E",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100658183",
            "telephone_number": "212-872-1745",
            "fax_number": "212-872-1747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. MA'S MANHATTAN MEDICAL REHABILITATION, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-07",
        "last_updated": "2009-04-07",
        "status": "A",
        "authorized_official_last_name": "MA",
        "authorized_official_first_name": "KEYAN",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "212-872-1745",
        "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 New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2009; 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.

Verify at the official NPI Registry.