Organization Active NPI

Res Physical Medicine & Rehabilitation Services, P.C.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Cheektowaga, NY
National Provider Identifier
1770034977
Registry record updated Oct 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
251108-1 Issued in NY
Legal business name
RES PHYSICAL MEDICINE & REHABILITATION SERVICES, P.C.
Practice address
2560 Walden Ave
Ste 104
Cheektowaga, NY 14225-4757
Phone
(716) 681-4088
Fax
(716) 681-4240
NPI assigned
Oct 23, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2016

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

Authorized official

Name
Dr. Mikhail Strut, M.D.NPI 1699970491
Title
Chief Executive Officer
Phone
(716) 681-4088

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) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2081P2900X 251108-1 NY Primary

Addresses

Primary practice location

2560 Walden Ave
Ste 104
Cheektowaga, NY 14225-4757

Mailing address

2560 Walden Ave
Ste 104
Cheektowaga, NY 14225-4757
Phone (716) 681-4088

National Provider Directory

National Provider Directory

Locations

2560 Walden Ave
Ste 104
Cheektowaga, NY 14225
Phone (716) 681-4088

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": "1477180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477180800000",
    "number": "1770034977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2560 WALDEN AVE",
            "address_2": "STE 104",
            "city": "CHEEKTOWAGA",
            "state": "NY",
            "postal_code": "142254757",
            "telephone_number": "716-681-4088",
            "fax_number": "716-681-4240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2560 WALDEN AVE",
            "address_2": "STE 104",
            "city": "CHEEKTOWAGA",
            "state": "NY",
            "postal_code": "142254757",
            "telephone_number": "716-681-4088",
            "fax_number": "716-681-4240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RES PHYSICAL MEDICINE & REHABILITATION SERVICES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-23",
        "last_updated": "2016-10-23",
        "status": "A",
        "authorized_official_last_name": "STRUT",
        "authorized_official_first_name": "MIKHAIL",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "716-681-4088",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "NY",
            "license": "251108-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cheektowaga, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2016; 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.