Active NPI
Downtown Physical Medicine & Rehabilitation PC
- Physical Medicine & Rehabilitation Physician
- New York, NY
National Provider Identifier
1659675502
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 213966
- Legal business name
- DOWNTOWN PHYSICAL MEDICINE & REHABILITATION PC
- Practice address
- 30 Broad St
Suite 2005
New York, NY 10004-2304 - Phone
- (212) 792-9292
- Fax
- (212) 792-9496
- NPI assigned
- Jan 7, 2011
- Last updated
- Jan 7, 2011
- 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. Michael Kolin, DC
- Title
- Owner
- Phone
- (212) 792-9292
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 213966 | NY | Primary |
Addresses
Primary practice location
30 Broad St
Suite 2005
New York, NY 10004-2304
Mailing address
30 Broad St
Suite 2005
New York, NY 10004-2304
Phone (212) 792-9292
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1294358400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1294358400000",
"number": "1659675502",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 BROAD ST",
"address_2": "SUITE 2005",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100042304",
"telephone_number": "212-792-9292",
"fax_number": "212-792-9496"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 BROAD ST",
"address_2": "SUITE 2005",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100042304",
"telephone_number": "212-792-9292",
"fax_number": "212-792-9496"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DOWNTOWN PHYSICAL MEDICINE & REHABILITATION PC",
"organizational_subpart": "NO",
"enumeration_date": "2011-01-07",
"last_updated": "2011-01-07",
"status": "A",
"authorized_official_last_name": "KOLIN",
"authorized_official_first_name": "MICHAEL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "212-792-9292",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation",
"state": "NY",
"license": "213966",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.