Wall Street Medical PC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

WALL STREET MEDICAL PC

Practice address

80 John St
Ground Floor/Gym
New York, NY 10038-2806

Phone

(212) 248-3030

Fax

(212) 248-3033

NPI assigned

Feb 5, 2009

Last updated

Feb 5, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Keith Chan, PT

Title

Medical Director

Phone

(212) 248-3030

Specialties & licenses 1

Addresses

Tax ID family

Wall Street Medical PC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Wall Street Medical

  • Health Service Clinic/Center
  • New York, NY
  • NPI 1225162027
  NPD tax ID
• Wall Street Medical PC

  • Physical Medicine & Rehabilitation Physician
  • New York, NY
  • NPI 1003025479
  NPD tax ID

Locations

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

{
    "created_epoch": "1233792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233792000000",
    "number": "1639318298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 JOHN ST",
            "address_2": "GROUND FLOOR/GYM",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100382806",
            "telephone_number": "212-248-3030",
            "fax_number": "212-248-3033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 JOHN ST",
            "address_2": "GROUND FLOOR/GYM",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100382806",
            "telephone_number": "212-248-3030",
            "fax_number": "212-248-3033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALL STREET MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-05",
        "last_updated": "2009-02-05",
        "status": "A",
        "authorized_official_last_name": "CHAN",
        "authorized_official_first_name": "KEITH",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "212-248-3030",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wall Street Creative Art Therapy PC
• Wall Street Dental Care PC (NYC Oral Surgery)
• Wall Street Foot Group
• Wall Street Medical
• Wall Street Medical PC
• Wall Street Medicine PLLC
• Wall Street Ny Physical Therapy PC
• Wall Street Physical Medicine & Rehabilitation, P.C.
• Wall Street Physical Therapy PC
• Wall Street Physician PLLC

• Physical Therapist in New York, NY
• Providers in New York, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2009; 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.