Organization Active NPI

Forest Hills Physical Medicine & Rehabilitation Services PC

  • Physical Medicine & Rehabilitation Physician
  • Forest Hills, NY
National Provider Identifier
1811412331
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
FOREST HILLS PHYSICAL MEDICINE & REHABILITATION SERVICES PC
Practice address
11510 Queens Blvd Ste Ul1
Forest Hills, NY 11375-7015
Phone
(718) 544-7708
Fax
(718) 793-2942
NPI assigned
Aug 4, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Richard A Gasalberti, MD
Title
Director Ceo
Phone
(917) 892-8884

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X Primary

Addresses

Primary practice location

11510 Queens Blvd Ste Ul1
Forest Hills, NY 11375-7015

Mailing address

11510 Queens Blvd Ste Ul1
Forest Hills, NY 11375-7015
Phone (718) 544-7708

National Provider Directory

National Provider Directory

Locations

11510 Queens Blvd
Ste UL1
Forest Hills, NY 11375
Phone (718) 544-7708

NPI Registry JSON

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

{
    "created_epoch": "1501804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1811412331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11510 QUEENS BLVD STE UL1",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113757015",
            "telephone_number": "718-544-7708",
            "fax_number": "718-793-2942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11510 QUEENS BLVD STE UL1",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113757015",
            "telephone_number": "718-544-7708",
            "fax_number": "718-793-2942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOREST HILLS PHYSICAL MEDICINE & REHABILITATION SERVICES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-04",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "GASALBERTI",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DIRECTOR CEO",
        "authorized_official_telephone_number": "917-892-8884",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Hills, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.