Organization Active NPI

Eastwest Medical Care PLLC

  • Physical Medicine & Rehabilitation Physician
  • Elmhurst, NY
National Provider Identifier
1548399033
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
154729 Issued in NY
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

NPI 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.

Verify at the official NPI Registry.