Active NPI
Physical Medicine & Rehabilitation Consultant, P.C.
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Forest Hills, NY
National Provider Identifier
1619165180
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- License
- 141612
- Legal business name
- PHYSICAL MEDICINE & REHABILITATION CONSULTANT, P.C.
- Practice address
- 10615 Queens Blvd
Forest Hills, NY 11375-4365 - Phone
- (718) 261-6366
- Fax
- (718) 263-3427
- NPI assigned
- Oct 10, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jeffrey Lewis Cole, M.D.
- Title
- President
- Phone
- (718) 261-6366
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Internal Medicine) Physician | 207RS0010X | 175535 | NY | |
| Orthopaedic Trauma Physician | 207XX0801X | 126197 | NY | |
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2081P2900X | 141612 | NY | Primary |
Addresses
Primary practice location
10615 Queens Blvd
Forest Hills, NY 11375-4365
Mailing address
10615 Queens Blvd
Forest Hills, NY 11375-4365
Phone (718) 261-6366
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191974400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1191974400000",
"number": "1619165180",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10615 QUEENS BLVD",
"city": "FOREST HILLS",
"state": "NY",
"postal_code": "113754365",
"telephone_number": "718-261-6366",
"fax_number": "718-263-3427"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10615 QUEENS BLVD",
"city": "FOREST HILLS",
"state": "NY",
"postal_code": "113754365",
"telephone_number": "718-261-6366",
"fax_number": "718-263-3427"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PHYSICAL MEDICINE & REHABILITATION CONSULTANT, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2007-10-10",
"last_updated": "2007-10-10",
"status": "A",
"authorized_official_last_name": "COLE",
"authorized_official_first_name": "JEFFREY",
"authorized_official_middle_name": "LEWIS",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "718-261-6366",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207RS0010X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Sports Medicine",
"state": "NY",
"license": "175535",
"primary": false
},
{
"code": "207XX0801X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthopaedic Surgery, Orthopaedic Trauma",
"state": "NY",
"license": "126197",
"primary": false
},
{
"code": "2081P2900X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation, Pain Medicine",
"state": "NY",
"license": "141612",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Forest Hills, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.