Interventional Physical Medicine and Rehab of New York, PLLC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

INTERVENTIONAL PHYSICAL MEDICINE AND REHAB OF NEW YORK, PLLC

Practice address

1615 Northern Blvd
GR 1
Manhasset, NY 11030

Phone

(516) 888-7614

NPI assigned

Jun 20, 2019

Organization subpart

No

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

Authorized official

Name

Teresa Rivera

Title

Office Manager

Phone

(516) 888-7614

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/GFJEDD

Practitioners 7

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

• Michael Robert Jurkowich, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Port Washington, NY
  • NPI 1184868531
  Medicare reassignment Care Compare group NPD
• Benjamin Adam Klyachman, DO

  • Physical Medicine & Rehabilitation Physician
  • Manhasset, NY
  • NPI 1992265375
  Medicare reassignment Care Compare group NPD
• Manish Mammen, M.D.

  • Physical Medicine & Rehabilitation Physician
  • New York, NY
  • NPI 1588951388
  Medicare reassignment Care Compare group NPD
• Dildeep Kaur Parmar-Gandhi, RN, FNP

  • Family Nurse Practitioner
  • Queens Village, NY
  • NPI 1215578141
  Medicare reassignment Care Compare group NPD
• Dilshad Atwal, M.D.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • New York, NY
  • NPI 1093185498
  Medicare reassignment NPD
• Larisa Kupershmid, FNP

  • Family Nurse Practitioner
  • Brooklyn, NY
  • NPI 1831909027
  Medicare reassignment NPD
• Ashish Kumar, D.O.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Plainview, NY
  • NPI 1518302967
  NPD (past)

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

{
    "created_epoch": "1560988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635984000000",
    "number": "1760043715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 SUMTER AVE",
            "city": "EAST WILLISTON",
            "state": "NY",
            "postal_code": "115962433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1615 NORTHERN BLVD",
            "address_2": "GR 1",
            "city": "MANHASSET",
            "state": "NY",
            "postal_code": "11030",
            "telephone_number": "516-888-7614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERVENTIONAL PHYSICAL MEDICINE AND REHAB OF NEW YORK, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-20",
        "last_updated": "2021-11-04",
        "certification_date": "2021-11-03",
        "status": "A",
        "authorized_official_last_name": "RIVERA",
        "authorized_official_first_name": "TERESA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "516-888-7614"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Colleen Ingrassia, PA
• Inpatient Medicine Specialists PC
• Integrated Medical Professionals PLLC
• Integrative Health Solutions
• Internal Medicine Specialist of New York P.C
• Stavroula Ioannides, M.A. CCC-SLP
• Marina Ionescu, MD
• Sarah Iqbal, PHARMACY TECHNICAN
• Salman Irfanullah
• Jorge Jean Pierre Irias Banegas, MD

• Physical Medicine & Rehabilitation Physician in Manhasset, NY
• Providers in Manhasset, NY by specialty
• Physical Medicine & Rehabilitation Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.