Organization Active NPI

North Shore Rehabilitation Services LLC

  • Health Service Clinic/Center
  • Roslindale, MA
National Provider Identifier
1801059738
Registry record updated Oct 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
NORTH SHORE REHABILITATION SERVICES LLC
Practice address
4197 Washington St
Roslindale, MA 02131-1733
Phone
(617) 323-8880
Fax
(617) 323-8886
NPI assigned
Jul 10, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2008

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

Authorized official

Name
Mr. Aleksey Fleyshman
Title
Manager
Phone
(617) 323-8880

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X MA Primary

Addresses

Primary practice location

4197 Washington St
Roslindale, MA 02131-1733

Mailing address

4197 Washington St
Roslindale, MA 02131-1733
Phone (617) 323-8880

National Provider Directory

National Provider Directory

Locations

4197 Washington St
Roslindale, MA 02131
Phone (617) 323-8880

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": "1215648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224201600000",
    "number": "1801059738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4197 WASHINGTON ST",
            "city": "ROSLINDALE",
            "state": "MA",
            "postal_code": "021311733",
            "telephone_number": "617-323-8880",
            "fax_number": "617-323-8886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4197 WASHINGTON ST",
            "city": "ROSLINDALE",
            "state": "MA",
            "postal_code": "021311733",
            "telephone_number": "617-323-8880",
            "fax_number": "617-323-8886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH SHORE REHABILITATION SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-10",
        "last_updated": "2008-10-17",
        "status": "A",
        "authorized_official_last_name": "FLEYSHMAN",
        "authorized_official_first_name": "ALEKSEY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "617-323-8880",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "MA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roslindale, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 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.