NPIMap

Organization Active NPI

Parkway Pain Care & Rehabilitation P.C.

  • Physical Medicine & Rehabilitation Physician
  • Brooklyn, NY
National Provider Identifier
1619072113
Registry record updated Jun 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
172301 Issued in NY
Legal business name
PARKWAY PAIN CARE & REHABILITATION P.C.
Practice address
4303 14TH Ave
Brooklyn, NY 11219-1678
Phone
(718) 941-6000
Fax
(718) 941-6071
NPI assigned
Sep 13, 2006
Last updated
Jun 23, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2025

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

Authorized official

Name
Perry J Stein, M.D.NPI 1104932508
Title
President
Phone
(718) 941-6000

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
Physical Medicine & Rehabilitation Physician 208100000X 172301 NY Primary

Addresses

Primary practice location

4303 14TH Ave
Brooklyn, NY 11219-1678

Mailing address

4303 14TH Ave
Brooklyn, NY 11219-1678
Phone (718) 941-6000

Other identifiers 1

IdentifierTypeStateIssuer
01369846MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, FL, OH3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20070427000401 NY Part B Supplier - Clinic/Group Practice 2466557939 Receives reassigned benefits from 14 practitioners
Practice locations: Brooklyn, NY; Woodmere, NY; Bronx, NY
O20201207000277 FL Part B Supplier - Clinic/Group Practice 2466557939 Receives reassigned benefits from 8 practitioners
Practice locations: Miami, FL; North Miami, FL
O20231128001343 OH Part B Supplier - Clinic/Group Practice 2466557939 Receives reassigned benefits from 1 practitioner
Practice locations: Cincinnati, OH

National Provider Directory

National Provider Directory

Locations

2035 Ralph Ave
Brooklyn, NY 11234
Phone (718) 209-1072

Practitioners & affiliated clinicians

Practitioners 24

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 24

NPI Registry JSON

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750636800000",
    "number": "1619072113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4303 14TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112191678",
            "telephone_number": "718-941-6000",
            "fax_number": "718-941-6071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4303 14TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112191678",
            "telephone_number": "718-941-6000",
            "fax_number": "718-941-6071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKWAY PAIN CARE & REHABILITATION P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-13",
        "last_updated": "2025-06-23",
        "certification_date": "2025-06-23",
        "status": "A",
        "authorized_official_last_name": "STEIN",
        "authorized_official_first_name": "PERRY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-941-6000",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "172301",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01369846",
            "state": "NY"
        }
    ],
    "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 Jun 23, 2025; 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.