Active NPI
Prime Medical Rehabilitation, PC
- Physical Medicine & Rehabilitation Physician
- Albany, NY
National Provider Identifier
1689864621
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 224520
- Legal business name
- PRIME MEDICAL REHABILITATION, PC
- Practice address
- 4 Tower PL FL 8
Albany, NY 12203-3714 - Phone
- (518) 459-0711
- Fax
- (518) 782-5282
- NPI assigned
- Jul 26, 2007
- 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
- Junnong Tang, MD
- Title
- Owner
- Phone
- (518) 459-0711
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 224520 | NY | Primary |
Addresses
Primary practice location
4 Tower PL FL 8
Albany, NY 12203-3714
Mailing address
5 Sand Creek Rd Ste 200
Albany, NY 12205-1400
Phone (518) 459-0711
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03016704 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
121 Everett Rd
#1
Albany, NY 12205
711 Troy Schenectady Rd
Ste 207B
Latham, NY 12110
Phone (518) 782-3491
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Medicine & Rehabilitation Physician
- Albany, NY
- NPI 1134115157
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185408000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1776988800000",
"number": "1689864621",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 SAND CREEK RD STE 200",
"city": "ALBANY",
"state": "NY",
"postal_code": "122051400",
"telephone_number": "518-459-0711",
"fax_number": "518-275-0646"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4 TOWER PL FL 8",
"city": "ALBANY",
"state": "NY",
"postal_code": "122033714",
"telephone_number": "518-459-0711",
"fax_number": "518-782-5282"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRIME MEDICAL REHABILITATION, PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-07-26",
"last_updated": "2026-04-24",
"certification_date": "2026-04-24",
"status": "A",
"authorized_official_last_name": "TANG",
"authorized_official_first_name": "JUNNONG",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "518-459-0711",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation",
"state": "NY",
"license": "224520",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03016704",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Albany, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2026; 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.