Organization Active NPI

Rehabilitation Medicine and Clinical Research Associates PC

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Hawthorne, NY
National Provider Identifier
1790763555
Registry record updated Apr 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
Legal business name
REHABILITATION MEDICINE AND CLINICAL RESEARCH ASSOCIATES PC
Practice address
19 Bradhurst Ave
Suite 2450N
Hawthorne, NY 10532
Phone
(914) 909-4168
Fax
(914) 909-4170
NPI assigned
Jan 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2008

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

Authorized official

Name
Mario Nelson, MD
Title
President
Phone
(914) 909-4168

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2081P2900X Primary

Addresses

Primary practice location

19 Bradhurst Ave
Suite 2450N
Hawthorne, NY 10532

Mailing address

19 Bradhurst Ave Suite 2450 N
Hawthorne, NY 10532
Phone (914) 909-4168

National Provider Directory

National Provider Directory

Locations

19 Bradhurst Ave
Ste 2450N
Hawthorne, NY 10532
Phone (914) 909-4168

19 Bradhurst Ave
Ste 2450
Hawthorne, NY 10532
Phone (914) 909-4168

NPI Registry JSON

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

{
    "created_epoch": "1136246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209513600000",
    "number": "1790763555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 BRADHURST AVE SUITE 2450 N",
            "city": "HAWTHORNE",
            "state": "NY",
            "postal_code": "10532",
            "telephone_number": "914-909-4168",
            "fax_number": "914-909-4170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 BRADHURST AVE",
            "address_2": "SUITE 2450N",
            "city": "HAWTHORNE",
            "state": "NY",
            "postal_code": "10532",
            "telephone_number": "914-909-4168",
            "fax_number": "914-909-4170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REHABILITATION MEDICINE AND CLINICAL RESEARCH ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-03",
        "last_updated": "2008-04-30",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "MARIO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "914-909-4168",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hawthorne, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2008; 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.