Port Rehab Medical P.C.

Primary specialty

SpecialistTaxonomy code 174400000X

License

154738-2 Issued in NY

Legal business name

PORT REHAB MEDICAL P.C.

Practice address

535 Broadhollow Rd Ste A10
Melville, NY 11747-3701

Phone

(718) 677-0937

NPI assigned

Apr 23, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Nirmal Kade, M.D.

Title

Owner

Phone

(718) 677-0937

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213660800000",
    "number": "1730307208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3857 KINGS HWY",
            "address_2": "STE. 1I",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112342943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 BROADHOLLOW RD STE A10",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117473701",
            "telephone_number": "718-677-0937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORT REHAB MEDICAL P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-23",
        "last_updated": "2008-06-17",
        "status": "A",
        "authorized_official_last_name": "KADE",
        "authorized_official_first_name": "NIRMAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-677-0937",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "154738-2",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chris Popp, LMT
• Howard A Popper, D.D.S.
• Jason P Popper, DDS
• Marlisa J Popper, DDS
• Claudia L Porcaro
• Lauren Porter, EDD, MS
• Kristin Porteus, RN
• Marilyn Portillo
• Nicole Porto-Bautista, REGISTERED NURSE
• Andrew Poster, PHARM.D.

• Specialist in Melville, NY
• Providers in Melville, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2008; 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.