Woodside Medical Rehabilitation

Primary specialty

Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X

License

130080-1 Issued in NY

Legal business name

WOODSIDE MEDICAL REHABILITATION

Practice address

14370 Sanford Ave
Flushing, NY 11355-2044

Phone

(718) 886-6268

NPI assigned

Feb 23, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Jae O Park, MD

Title

MD

Phone

(718) 986-5841

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Hyeon Cheol Hwang, PT

  • Physical Therapist
  • Flushing, NY
  • NPI 1477600583
  NPD (past)

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1578698908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14370 SANFORD AVE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113552044",
            "telephone_number": "718-886-6268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14370 SANFORD AVE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113552044",
            "telephone_number": "718-886-6268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODSIDE MEDICAL REHABILITATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "JAE",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "718-986-5841",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "NY",
            "license": "130080-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Courtney Woo
• Suyoung Woo
• Woodcrest Rehabilitation and Residential Health Care Center LLC
• Woodman Enterprises, LLC (Woodman Adult Services)
• Woodside Medical Rebabilitation, PC
• Woodside Optometry PC
• Woon Acupuncture PC
• Woori Adult Daycare Inc
• World Ambulette Transportation Inc.
• World Pharmacy LLC

• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Flushing, NY
• Providers in Flushing, NY by specialty
• Pain Medicine (Physical Medicine & Rehabilitation) Physician in New York

• 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.