Organization Active NPI

New Vision Physical Therapy & Rehab PC

  • Specialist
  • Jamaica, NY
National Provider Identifier
1619202348
Registry record updated Dec 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
022953 Issued in NY
Legal business name
NEW VISION PHYSICAL THERAPY & REHAB PC
Practice address
8742 169TH St
Jamaica, NY 11432-3632
Phone
(718) 739-2200
Fax
(718) 526-2830
NPI assigned
Oct 14, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2015

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

Authorized official

Name
Anjum Qureshi, PT
Title
Owner
Phone
(718) 739-2200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X 022953 NY Primary

Addresses

Primary practice location

8742 169TH St
Jamaica, NY 11432-3632

Mailing address

24 Fairfax St
Valley Stream, NY 11580-3515
Phone (718) 536-8548

National Provider Directory

National Provider Directory

Locations

8742 169th St
Jamaica, NY 11432
Phone (718) 206-2222

NPI Registry JSON

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

{
    "created_epoch": "1255478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451347200000",
    "number": "1619202348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 FAIRFAX ST",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115803515",
            "telephone_number": "718-536-8548",
            "fax_number": "718-526-2830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8742 169TH ST",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114323632",
            "telephone_number": "718-739-2200",
            "fax_number": "718-526-2830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW VISION PHYSICAL THERAPY & REHAB PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-14",
        "last_updated": "2015-12-29",
        "status": "A",
        "authorized_official_last_name": "QURESHI",
        "authorized_official_first_name": "ANJUM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-739-2200",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "022953",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamaica, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2015; 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.