Crescent Diagnostic Preventive & Rehablitation Medical PC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

211161 Issued in NY

Legal business name

CRESCENT DIAGNOSTIC PREVENTIVE & REHABLITATION MEDICAL PC

Practice address

52 Heywood St
New Hyde Park, NY 11040-2412

Phone

(718) 339-8950

Fax

(718) 339-8953

NPI assigned

Nov 18, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Abu Taher, MDNPI 1457435737

Title

President

Phone

(718) 339-8950

Specialties & licenses 3

Addresses

Other names 1

• Quentin Pain Management & Rehabilitation Doing business as

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Abu Taher, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Brooklyn, NY
  • NPI 1457435737
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1163808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254614400000",
    "number": "1811061252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52 HEYWOOD ST",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110402412",
            "telephone_number": "718-339-8950",
            "fax_number": "718-339-8953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "52 HEYWOOD ST",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110402412",
            "telephone_number": "718-339-8950",
            "fax_number": "718-339-8953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRESCENT DIAGNOSTIC PREVENTIVE & REHABLITATION MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-18",
        "last_updated": "2009-10-04",
        "status": "A",
        "authorized_official_last_name": "TAHER",
        "authorized_official_first_name": "ABU",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-339-8950",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "211161",
            "primary": true
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "NY",
            "license": "211161",
            "primary": false
        },
        {
            "code": "2081S0010X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "NY",
            "license": "211161",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Quentin Pain Management & Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Counseling for Healing
• Nicholas Coupey, MS
• Courtney V Cox, MD
• Julianna Cox, PA-C
• Teresa Craven, CRNA
• Diana Crevi
• Adam Criss, DO
• Sofia Cristovao Lucio, DO
• Critical Care Nursing Agency, LLC
• Mary Cronin

• Physical Medicine & Rehabilitation Physician in New Hyde Park, NY
• Providers in New Hyde Park, 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 4, 2009; 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.