Ocean Valley Physical Medicine PC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

198348 Issued in NY

Legal business name

OCEAN VALLEY PHYSICAL MEDICINE PC

Practice address

275 N Central Ave
Valley Stream, NY 11580-2525

Phone

(516) 341-0579

Fax

(516) 593-7991

NPI assigned

Oct 23, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Pericles Hadjiyane, MD

Title

President

Phone

(516) 341-0579

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1445558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445558400000",
    "number": "1790157238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 N CENTRAL AVE",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115802525",
            "telephone_number": "516-341-0579",
            "fax_number": "516-593-7991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 N CENTRAL AVE",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115802525",
            "telephone_number": "516-341-0579",
            "fax_number": "516-593-7991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCEAN VALLEY PHYSICAL MEDICINE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-23",
        "last_updated": "2015-10-23",
        "status": "A",
        "authorized_official_last_name": "HADJIYANE",
        "authorized_official_first_name": "PERICLES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-341-0579",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "198348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Nwakanmah Obi, REGISTERED NURSE
• Chikodi Obichere
• Omorho Obogbaimhe
• Marie Occean
• Occupational Therapy for Productive Living, PC
• Jeremy Odle
• Tolulope Ogundeyi, FNP
• Benjamin Oh, PHARMD
• Chris Tochukwu Ohanuka
• Amanda Ojugbeli, MD

• Physical Medicine & Rehabilitation Physician in Valley Stream, NY
• Providers in Valley Stream, 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 Oct 23, 2015; 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.