Advanced Pain Medicine and Rehabilitation PC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

171471 Issued in NY

Legal business name

ADVANCED PAIN MEDICINE AND REHABILITATION PC

Practice address

17916 Union Tpke
Fresh Meadows, NY 11366-1636

Phone

(516) 625-3723

NPI assigned

Aug 27, 2007

Last updated

May 1, 2018By 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

Dr. Michael David Leibowitz, M.D.NPI 1811900780

Title

President

Phone

(516) 662-7756

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 2

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.

• Michael Leibowitz, MD

  • Physical Medicine & Rehabilitation Physician
  • Brooklyn, NY
  • NPI 1811900780
  Medicare reassignment NPD Authorized official
• Farshad Shafizadeh, M.D.

  • Urology Physician
  • New York, NY
  • NPI 1003911132
  NPD (past)

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

{
    "created_epoch": "1188172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525132800000",
    "number": "1649464272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 CANDY LN",
            "city": "ROSLYN HEIGHTS",
            "state": "NY",
            "postal_code": "115771809",
            "telephone_number": "516-625-3723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17916 UNION TPKE",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113661636",
            "telephone_number": "516-625-3723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED PAIN MEDICINE AND REHABILITATION PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-27",
        "last_updated": "2018-05-01",
        "status": "A",
        "authorized_official_last_name": "LEIBOWITZ",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-662-7756",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "171471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elena I Acosta, R.N
• Frantzie Emmanuelle Adam
• Mina Fawzy Adams, MD.
• Chaya Shira Adler
• Advanced Dental Concepts PC
• Advanced Sports, Physical & Orthopedic Rehabilitative Therapy Services (Advanced S.P.O.R.T.S.)
• Advanced Sports, Physical & Orthopedic Rehabilitative Therapy Services (Advanced S.P.O.R.T.S.)
• Jessica Aghavian, BCBA LBA
• Narayan Das Agrawal, M.D.
• Angela Maria Agrusa

• Physical Medicine & Rehabilitation Physician in Fresh Meadows, NY
• Providers in Fresh Meadows, NY by specialty
• Physical Medicine & Rehabilitation Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2018; 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.