Skyline Physical Medicine & Rehabilitation PC

Primary specialty

Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X

License

278621-1 Issued in NY

Legal business name

SKYLINE PHYSICAL MEDICINE & REHABILITATION PC

Practice address

40 Broad St
Suite 601
New York, NY 10004-2315

Phone

(212) 797-1200

Fax

(516) 248-2380

NPI assigned

Nov 3, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Michael R Monfett, MD

Title

Owner/Medical Director

Phone

(516) 294-4590

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1478131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478131200000",
    "number": "1669924981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 BROAD ST",
            "address_2": "SUITE 601",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100042315",
            "telephone_number": "212-797-1200",
            "fax_number": "516-248-2380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 BROAD ST",
            "address_2": "SUITE 601",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100042315",
            "telephone_number": "212-797-1200",
            "fax_number": "516-248-2380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKYLINE PHYSICAL MEDICINE & REHABILITATION PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-03",
        "last_updated": "2016-11-03",
        "status": "A",
        "authorized_official_last_name": "MONFETT",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER/MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "516-294-4590",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "NY",
            "license": "278621-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sky Group of Health Care
• Sky Suites LLC
• Skyline Counseling Center P.C.
• Skyline Dental, P.C.
• Skyline Pharmacy Inc.
• SL Medical Services PC
• SL Physician PC
• SL Wellness Acupuncture PC
• Christine Slack
• Daniel Jeffrey Slack, MD

• Pain Medicine (Physical Medicine & Rehabilitation) Physician in New York, NY
• Providers in New York, NY by specialty
• Pain Medicine (Physical Medicine & Rehabilitation) Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2016; 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.