Active NPI
Eastwest Medical Care PLLC
- Physical Medicine & Rehabilitation Physician
- Elmhurst, NY
National Provider Identifier
1548399033
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 154729
- Legal business name
- EASTWEST MEDICAL CARE PLLC
- Practice address
- 4502 82ND St
Elmhurst, NY 11373-3558 - Phone
- (718) 424-0088
- Fax
- (718) 424-2073
- NPI assigned
- Mar 2, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rodriguez Socrates Perez, MD
- Title
- Member
- Phone
- (718) 424-0088
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 154729 | NY | Primary |
Addresses
Primary practice location
4502 82ND St
Elmhurst, NY 11373-3558
Mailing address
4502 82ND St
Elmhurst, NY 11373-3558
Phone (718) 424-0088
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172793600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1548399033",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4502 82ND ST",
"city": "ELMHURST",
"state": "NY",
"postal_code": "113733558",
"telephone_number": "718-424-0088",
"fax_number": "718-424-2073"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4502 82ND ST",
"city": "ELMHURST",
"state": "NY",
"postal_code": "113733558",
"telephone_number": "718-424-0088",
"fax_number": "718-424-2073"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EASTWEST MEDICAL CARE PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-02",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "PEREZ",
"authorized_official_first_name": "RODRIGUEZ",
"authorized_official_middle_name": "SOCRATES",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "718-424-0088",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation",
"state": "NY",
"license": "154729",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Elmhurst, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.