Organization Active NPI

Rehabilitation Medicine Consultants of Ny PLLC

  • Rehabilitation Clinic/Center
  • Bronx, NY
National Provider Identifier
1740291723
Registry record updated Mar 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
License
216861 Issued in NY
Legal business name
REHABILITATION MEDICINE CONSULTANTS OF NY PLLC
Practice address
2475 Saint Raymonds Ave
5TH Floor
Bronx, NY 10461-3124
Phone
(718) 239-5402
Fax
(718) 430-7385
NPI assigned
Aug 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2008

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

Authorized official

Name
Dr. Maria Angelina Jouvin Castro, M.D.
Title
Physician
Phone
(718) 239-5402

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X 216861 NY Primary

Addresses

Primary practice location

2475 Saint Raymonds Ave
5TH Floor
Bronx, NY 10461-3124

Mailing address

18436 Hovendon Rd
Jamaica, NY 11432-2424
Phone (718) 239-5402

Other identifiers 1

IdentifierTypeStateIssuer
02376332MedicaidNY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206662400000",
    "number": "1740291723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18436 HOVENDON RD",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114322424",
            "telephone_number": "718-239-5402",
            "fax_number": "718-430-7385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2475 SAINT RAYMONDS AVE",
            "address_2": "5TH FLOOR",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104613124",
            "telephone_number": "718-239-5402",
            "fax_number": "718-430-7385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REHABILITATION MEDICINE CONSULTANTS OF NY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-11",
        "last_updated": "2008-03-28",
        "status": "A",
        "authorized_official_last_name": "JOUVIN CASTRO",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "ANGELINA",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "718-239-5402",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "NY",
            "license": "216861",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02376332",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 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.