Organization Active NPI

Empire Medicine & Rehabilitation PC

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Huntington Station, NY
National Provider Identifier
1760545123
Registry record updated May 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
229151 Issued in NY
Legal business name
EMPIRE MEDICINE & REHABILITATION PC
Practice address
2375 New York Ave
Huntington Station, NY 11746-4258
Phone
(631) 549-8120
NPI assigned
Dec 18, 2006
Last updated
May 13, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2015

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

Authorized official

Name
Ronglan Zheng, MDNPI 1427083880
Title
Vice President
Phone
(516) 698-3086

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X 229151 NY Primary

Addresses

Primary practice location

2375 New York Ave
Huntington Station, NY 11746-4258

Mailing address

2375 New York Ave
Huntington Station, NY 11746-4258
Phone (631) 549-8120

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041004000123 NY Part B Supplier - Clinic/Group Practice 4587633870 Receives reassigned benefits from 2 practitioners
Practice locations: Nesconset, NY; Huntington Station, NY

National Provider Directory

National Provider Directory
Tax ID family
Empire Medicine Rehabilitation2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2375 New York Ave
Unit A
Huntington Station, NY 11746
Phone (631) 549-8120

45 Terry Rd
Smithtown, NY 11787
Phone (631) 265-3133

33 Hillside Ave
Williston Pk, NY 11596
Phone (516) 506-7139

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431475200000",
    "number": "1760545123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2375 NEW YORK AVE",
            "city": "HUNTINGTON STATION",
            "state": "NY",
            "postal_code": "117464258",
            "telephone_number": "631-549-8120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2375 NEW YORK AVE",
            "city": "HUNTINGTON STATION",
            "state": "NY",
            "postal_code": "117464258",
            "telephone_number": "631-549-8120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMPIRE MEDICINE & REHABILITATION PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-18",
        "last_updated": "2015-05-13",
        "status": "A",
        "authorized_official_last_name": "ZHENG",
        "authorized_official_first_name": "RONGLAN",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "516-698-3086",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "NY",
            "license": "229151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington Station, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2015; 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.