Organization Active NPI

Prorehab & Sports Medicine, P.C.

  • Physical Medicine & Rehabilitation Physician
  • Astoria, NY
National Provider Identifier
1548445273
Registry record updated Dec 31, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
214985 Issued in NY
Legal business name
PROREHAB & SPORTS MEDICINE, P.C.
Practice address
2001 37TH St
Astoria, NY 11105-1627
Phone
(718) 606-1899
Fax
(718) 606-9884
NPI assigned
Dec 31, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2007

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

Authorized official

Name
Dr. Ayman Hadhoud, M.D.NPI 1437267044
Title
Director
Phone
(718) 606-1899

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
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X 214985 NY Primary

Addresses

Primary practice location

2001 37TH St
Astoria, NY 11105-1627

Mailing address

2001 37TH Street
Astoria, NY 11105
Phone (718) 606-1899

National Provider Directory

National Provider Directory

Locations

825 Walton Ave
Bronx, NY 10451
Phone (718) 402-1800

Practitioners & affiliated clinicians

Practitioners 1

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": "1199059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199059200000",
    "number": "1548445273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 37TH STREET",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "11105",
            "telephone_number": "718-606-1899",
            "fax_number": "718-606-9884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 37TH ST",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111051627",
            "telephone_number": "718-606-1899",
            "fax_number": "718-606-9884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROREHAB & SPORTS MEDICINE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-31",
        "last_updated": "2007-12-31",
        "status": "A",
        "authorized_official_last_name": "HADHOUD",
        "authorized_official_first_name": "AYMAN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "718-606-1899",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "214985",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Astoria, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2007; 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.