Garden City Physical Medicine and Rehabilitation, PC

Primary specialty

Sports Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081S0010X

License

38203 Issued in NY

Legal business name

GARDEN CITY PHYSICAL MEDICINE AND REHABILITATION, PC

Doing business as

Central Island Physical Medicine and Rehabilitation, PC

Practice address

292A Herricks Rd
Mineola, NY 11501-1119

Phone

(516) 877-0011

NPI assigned

Jan 27, 2007

Last updated

Aug 22, 2020By 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. Philip Burns, D.O.NPI 1083779284

Title

Pres

Phone

(516) 877-0011

Specialties & licenses 1

Addresses

Other names 1

• Central Island Physical Medicine and Rehabilitation, PC Doing business as

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 6

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.

• Philip Burns, D.O.

  • Sports Medicine (Physical Medicine & Rehabilitation) Physician
  • Mineola, NY
  • NPI 1083779284
  Medicare reassignment NPD Authorized official
• Richard McGraw, DO

  • Physical Medicine & Rehabilitation Physician
  • Mineola, NY
  • NPI 1710931514
  Medicare reassignment NPD
• Anthony Santa-Maria, PT

  • Physical Therapist
  • Huntington, NY
  • NPI 1043963937
  NPD
• Irene Zapantis

  • Physical Therapist
  • Mineola, NY
  • NPI 1740045889
  NPD
• Samuel H Kelman, D.O.

  • Physical Medicine & Rehabilitation Physician
  • Freeport, NY
  • NPI 1669596474
  NPD (past)
• Bertha Gabriela Willems, DR. P.T

  • Physical Therapist
  • Freeport, NY
  • NPI 1164569521
  NPD (past)

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

{
    "created_epoch": "1169856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1700932944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "292A HERRICKS RD",
            "city": "MINEOLA",
            "state": "NY",
            "postal_code": "115011119",
            "telephone_number": "516-877-0011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "292A HERRICKS RD",
            "city": "MINEOLA",
            "state": "NY",
            "postal_code": "115011119",
            "telephone_number": "516-877-0011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARDEN CITY PHYSICAL MEDICINE AND REHABILITATION, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BURNS",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "516-877-0011",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "2081S0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "NY",
            "license": "38203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Central Island Physical Medicine and Rehabilitation, PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Victoria Ashley Gangale
• Emil Ganjian, MD
• Daniel Jason Garcia, MD
• Jesus Lehi Garcia, MD
• Michael Louis Garcia, MD
• Anna Garofalo, RN
• Michael Garrison, M.D.
• Aleisha Lynette Garvin, LCSW
• Erica Garzino, PA-C
• Emily Irene Gavras, DDS

• Sports Medicine (Physical Medicine & Rehabilitation) Physician in Mineola, NY
• Providers in Mineola, NY by specialty
• Sports 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 Aug 22, 2020; 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.