Organization Active NPI

Panacea Medical Services, P.C.

  • Physical Medicine & Rehabilitation Physician
  • Fresh Meadows, NY
National Provider Identifier
1710066543
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
PANACEA MEDICAL SERVICES, P.C.
Practice address
17625 Union Tpke
Suite 349
Fresh Meadows, NY 11366-1515
Phone
(646) 330-4748
Fax
(718) 264-8412
NPI assigned
Nov 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dror Rosenfeld, M.D.
Title
Owner
Phone
(917) 617-1551

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X NY Primary

Addresses

Primary practice location

17625 Union Tpke
Suite 349
Fresh Meadows, NY 11366-1515

Mailing address

17625 Union Tpke
Suite 349
Fresh Meadows, NY 11366-1515
Phone (718) 264-7310

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1710066543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17625 UNION TPKE",
            "address_2": "SUITE 349",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113661515",
            "telephone_number": "718-264-7310",
            "fax_number": "718-264-8412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17625 UNION TPKE",
            "address_2": "SUITE 349",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113661515",
            "telephone_number": "646-330-4748",
            "fax_number": "718-264-8412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PANACEA MEDICAL SERVICES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-03",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "ROSENFELD",
        "authorized_official_first_name": "DROR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-617-1551",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresh Meadows, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.