Rezk Medical Clinic LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD059077 L Issued in PA

Legal business name

REZK MEDICAL CLINIC LLC

Practice address

1750 New Butler Road
New Castle, PA 16101

Phone

(724) 658-6585

Fax

(724) 658-6743

NPI assigned

Oct 10, 2006

Last updated

Apr 10, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Hany Sadek Rezk, MDNPI 1386732147

Title

Owner

Phone

(724) 658-6585

Specialties & licenses 1

Addresses

Other identifiers 7

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Hany Sadek Rezk, MD

  • Internal Medicine Physician
  • New Castle, PA
  • NPI 1386732147
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207785600000",
    "number": "1801984661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "227 MOHAWK DRIVE",
            "city": "NEW CASTLE",
            "state": "PA",
            "postal_code": "16105",
            "telephone_number": "724-657-0469",
            "fax_number": "724-658-6743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1750 NEW BUTLER ROAD",
            "city": "NEW CASTLE",
            "state": "PA",
            "postal_code": "16101",
            "telephone_number": "724-658-6585",
            "fax_number": "724-658-6743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REZK MEDICAL CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-10",
        "last_updated": "2008-04-10",
        "status": "A",
        "authorized_official_last_name": "REZK",
        "authorized_official_first_name": "HANY",
        "authorized_official_middle_name": "SADEK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "724-658-6585",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD059077 L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1011865810001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNISON",
            "identifier": "160574",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2133171",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGH MARK",
            "identifier": "1681251",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPMC",
            "identifier": "9481",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GATEWAY",
            "identifier": "1512284",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH AMERICA",
            "identifier": "263036",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Danielle N Remley
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• Reynolds Physical Therapy, LLC (Paramount Physical Therapy)
• Dorothy J. Reynolds, P.T.
• Hany Sadek Rezk, MD
• Jessica Dee Rhodes, PHD
• Tammy Rhodes, LPN
• Richard M Ribarevski
• Ashley Elizabeth Rice, D.C.

• Internal Medicine Physician in New Castle, PA
• Providers in New Castle, PA by specialty
• Internal Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.