Dr.Shapiro Excel Rehabilitation PC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

25MB07640400 Issued in NJ

Legal business name

DR.SHAPIRO EXCEL REHABILITATION PC

Practice address

3663 Route 9 N Ste 103
Old Bridge, NJ 08857-3518

Phone

(646) 207-0046

Fax

(718) 646-1894

NPI assigned

May 3, 2013

Last updated

May 3, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Mikhail Shapiro, DONPI 1417049123

Title

Medical Director

Phone

(646) 207-0046

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mikhail Shapiro, DO

  • Physical Medicine & Rehabilitation Physician
  • Brooklyn, NY
  • NPI 1417049123
  NPD (past) Authorized official
• Nonna V. Morozova, D.O.

  • Physical Medicine & Rehabilitation Physician
  • Brooklyn, NY
  • NPI 1124285051
  NPD (past)

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

{
    "created_epoch": "1367539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367539200000",
    "number": "1568807550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 LAMOKA AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103082025",
            "telephone_number": "646-207-0046",
            "fax_number": "718-646-1894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3663 ROUTE 9 N STE 103",
            "city": "OLD BRIDGE",
            "state": "NJ",
            "postal_code": "088573518",
            "telephone_number": "646-207-0046",
            "fax_number": "718-646-1894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR.SHAPIRO EXCEL REHABILITATION PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-03",
        "last_updated": "2013-05-03",
        "status": "A",
        "authorized_official_last_name": "SHAPIRO",
        "authorized_official_first_name": "MIKHAIL",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "646-207-0046",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NJ",
            "license": "25MB07640400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Medicine & Rehabilitation Physician in Old Bridge, NJ
• Providers in Old Bridge, NJ by specialty
• Physical Medicine & Rehabilitation Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2013; 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.