Precision Pain Care and Rehabilitation P.C.

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

256586 Issued in NY

Legal business name

PRECISION PAIN CARE AND REHABILITATION P.C.

Practice address

8611 Lefferts Blvd
Suite 3B
Richmond Hill, NY 11418-2536

Phone

(718) 581-5599

Fax

(718) 880-1374

NPI assigned

Feb 2, 2017

Organization subpart

No

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

Authorized official

Name

Jeffrey K ChackoNPI 1700024064

Title

President

Phone

(718) 581-5599

Specialties & licenses 1

Addresses

Locations

Practitioners 4

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

• Jeffrey K Chacko, M.D.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • New Hyde Park, NY
  • NPI 1700024064
  NPD Authorized official
• Sonny Ahluwalia, DO

  • Physical Medicine & Rehabilitation Physician
  • New Hyde Park, NY
  • NPI 1225535982

  Physical Medicine & Rehabilitation

  NPD
• Luke Jansen, PT, DPT

  • Physical Therapist
  • Smithtown, NY
  • NPI 1316553639
  NPD
• Lew Vykka Teves

  • Physical Therapist
  • New York, NY
  • NPI 1710557574
  NPD

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

{
    "created_epoch": "1485993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485993600000",
    "number": "1609314210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 UNION TPKE",
            "address_2": "SUITE 203",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110401764",
            "telephone_number": "718-581-5599",
            "fax_number": "718-880-1374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8611 LEFFERTS BLVD",
            "address_2": "SUITE 3B",
            "city": "RICHMOND HILL",
            "state": "NY",
            "postal_code": "114182536",
            "telephone_number": "718-581-5599",
            "fax_number": "718-880-1374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRECISION PAIN CARE AND REHABILITATION P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-02",
        "last_updated": "2017-02-02",
        "status": "A",
        "authorized_official_last_name": "CHACKO",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-581-5599"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "256586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vikram Pooni, MD
• Yasna Pouralborz, MD
• Lina Pourmehr, MD
• Ushus Pradeep
• Ushaben Alay Prajapati, PT
• Premier Internal Medicine Associates, P.C.
• Amanda Press
• Preventive Cardiac Care Corp
• Prime Meds RX Inc.
• Katrina Anastasia Probherbs, MSED

• All providers in Richmond Hill, NY
• Physical Medicine & Rehabilitation Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2017; 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.