PMR Medical PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

MA66044 Issued in NJ

Legal business name

PMR MEDICAL PC

Practice address

1 N Washington Ave
Bergenfield, NJ 07621-2125

Phone

(855) 699-7246

Fax

(718) 766-9763

NPI assigned

Oct 6, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Leonid Shapiro, MD

Title

President

Phone

(855) 699-7246

Specialties & licenses 1

Addresses

Other names 1

• NY Mobile Anesthesia Doing business as

Locations

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

{
    "created_epoch": "1317859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749513600000",
    "number": "1548544604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 KINGSLAND ST",
            "city": "NUTLEY",
            "state": "NJ",
            "postal_code": "071101119",
            "telephone_number": "855-699-7246",
            "fax_number": "718-766-9763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 N WASHINGTON AVE",
            "city": "BERGENFIELD",
            "state": "NJ",
            "postal_code": "076212125",
            "telephone_number": "855-699-7246",
            "fax_number": "718-766-9763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PMR MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-06",
        "last_updated": "2025-06-10",
        "certification_date": "2025-06-10",
        "status": "A",
        "authorized_official_last_name": "SHAPIRO",
        "authorized_official_first_name": "LEONID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "855-699-7246",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "NJ",
            "license": "MA66044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NY Mobile Anesthesia",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "NY Mobile Anesthesia",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Specialist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2025; 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.