Organization Active NPI

New York Neurology Rehabilitation Crossroads, PC

  • Physical Therapy Clinic/Center
  • Staten Island, NY
National Provider Identifier
1528334398
Registry record updated Aug 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
166040 Issued in NY
Legal business name
NEW YORK NEUROLOGY REHABILITATION CROSSROADS, PC
Practice address
1931 Richmond Ave
Staten Island, NY 10314-3889
Phone
(718) 477-9300
Fax
(718) 477-9301
NPI assigned
Mar 27, 2012
Last updated
Aug 29, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2014

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

Authorized official

Name
Dr. Igor Stiler, MD
Title
Owner
Phone
(718) 477-9300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 166040 NY Primary

Addresses

Primary practice location

1931 Richmond Ave
Staten Island, NY 10314-3889

Mailing address

1931 Richmond Ave
Staten Island, NY 10314-3889
Phone (718) 477-9300

Other names 1

  • SOUTH SHORE REHABILITATION Former legal business name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1332806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409270400000",
    "number": "1528334398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1931 RICHMOND AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103143889",
            "telephone_number": "718-477-9300",
            "fax_number": "718-477-9301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1931 RICHMOND AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103143889",
            "telephone_number": "718-477-9300",
            "fax_number": "718-477-9301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW YORK NEUROLOGY REHABILITATION CROSSROADS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-27",
        "last_updated": "2014-08-29",
        "status": "A",
        "authorized_official_last_name": "STILER",
        "authorized_official_first_name": "IGOR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-477-9300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NY",
            "license": "166040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SOUTH SHORE REHABILITATION",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2014; 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.