NPIMap

Organization Active NPI

Maimonides Bone and Joint Faculty Practice Physical Therapy

  • Rehabilitation Clinic/Center
  • Brooklyn, NY
National Provider Identifier
1609431576
Registry record updated May 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
MAIMONIDES BONE AND JOINT FACULTY PRACTICE PHYSICAL THERAPY
Practice address
6010 Bay Pkwy FL 1
Brooklyn, NY 11204-6079
Phone
(718) 283-8962
Fax
(718) 635-8962
NPI assigned
May 7, 2019
Last updated
May 7, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
MAIMONIDES MEDICAL CENTER ORTHOPAEDIC FPPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 7, 2019

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

Authorized official

Name
Mr. Rene Barro, PT, MS, MBANPI 1568650851
Title
Adminsitartive Director
Phone
(718) 283-6087

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X NU Primary

Addresses

Primary practice location

6010 Bay Pkwy FL 1
Brooklyn, NY 11204-6079

Mailing address

6010 Bay Pkwy FL 1
Brooklyn, NY 11204-6079
Phone (718) 283-8962

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201124000962 NY Part B Supplier - Clinic/Group Practice 0749691764 Receives reassigned benefits from 18 practitioners
Practice locations: Brooklyn, NY

National Provider Directory

National Provider Directory
Part of
Maimonides Medical Center Orthopaedic FPP

Locations

6010 Bay Pkwy
Fl 1
Brooklyn, NY 11204
Phone (718) 283-6087

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 68

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.

View all 68

NPI Registry JSON

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

{
    "created_epoch": "1557187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557187200000",
    "number": "1609431576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6010 BAY PKWY FL 1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112046079",
            "telephone_number": "718-283-8962",
            "fax_number": "718-635-8962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6010 BAY PKWY FL 1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112046079",
            "telephone_number": "718-283-8962",
            "fax_number": "718-635-8962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAIMONIDES BONE AND JOINT FACULTY PRACTICE PHYSICAL THERAPY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MAIMONIDES MEDICAL CENTER ORTHOPAEDIC FPP",
        "enumeration_date": "2019-05-07",
        "last_updated": "2019-05-07",
        "status": "A",
        "authorized_official_last_name": "BARRO",
        "authorized_official_first_name": "RENE",
        "authorized_official_title_or_position": "ADMINSITARTIVE DIRECTOR",
        "authorized_official_telephone_number": "718-283-6087",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT, MS, MBA"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.