Agility Medical Care, P.C.

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

221473 Issued in NY

Legal business name

AGILITY MEDICAL CARE, P.C.

Practice address

1983 Route 52
Suite 4
Hopewell Junction, NY 12533-3513

Phone

(845) 896-1300

Fax

(845) 896-2600

NPI assigned

Mar 20, 2012

Last updated

Mar 20, 2012By 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. Arefin Siddique, M.D.

Title

President

Phone

(845) 896-1300

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1332201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332201600000",
    "number": "1609141951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1983 ROUTE 52",
            "address_2": "SUITE 4",
            "city": "HOPEWELL JUNCTION",
            "state": "NY",
            "postal_code": "125333513",
            "telephone_number": "845-896-1300",
            "fax_number": "845-896-2600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1983 ROUTE 52",
            "address_2": "SUITE 4",
            "city": "HOPEWELL JUNCTION",
            "state": "NY",
            "postal_code": "125333513",
            "telephone_number": "845-896-1300",
            "fax_number": "845-896-2600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGILITY MEDICAL CARE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-20",
        "last_updated": "2012-03-20",
        "status": "A",
        "authorized_official_last_name": "SIDDIQUE",
        "authorized_official_first_name": "AREFIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "845-896-1300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "221473",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Medicine & Rehabilitation Physician in Hopewell Junction, NY
• Providers in Hopewell Junction, NY by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2012; 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.