Active NPI
Res Physical Medicine & Rehabilitation Services, P.C.
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Cheektowaga, NY
National Provider Identifier
1770034977
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- License
- 251108-1
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Mikhail Strut, M.D.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 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 DirectoryLocations
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.
-
- Pain Medicine Physician
- Cheektowaga, NY
- NPI 1699970491
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.