Physiatry PLLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

PHYSIATRY PLLC

Practice address

233 N Main St
New City, NY 10956-4018

Phone

(201) 839-2762

NPI assigned

May 30, 2024

Organization subpart

No

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

Authorized official

Name

Susanna ShepperNPI 1164792420

Title

Owner

Phone

(718) 753-3912

Specialties & licenses 1

Addresses

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.

• Susanna Shepper, MD

  • Physical Medicine & Rehabilitation Physician
  • New City, NY
  • NPI 1164792420
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1717027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717027200000",
    "number": "1811737455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 DUDLEY DR",
            "city": "BERGENFIELD",
            "state": "NJ",
            "postal_code": "076212613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 N MAIN ST",
            "city": "NEW CITY",
            "state": "NY",
            "postal_code": "109564018",
            "telephone_number": "201-839-2762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSIATRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-30",
        "last_updated": "2024-05-30",
        "certification_date": "2024-05-30",
        "status": "A",
        "authorized_official_last_name": "SHEPPER",
        "authorized_official_first_name": "SUSANNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-753-3912"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard A Petix, D.D.S
• Joann Phenix
• Mercy W Philip, RPH
• Phillips Hill Pain MGMT., PC
• Manthana Phothisatean, PT, DPT
• Elizabeth Piccolo, PMHNP
• Chad Pilieri
• Anna Pisano
• Pivotal Performance Occupational Therapy LLC
• Pivotal Performance Occupational Therapy PLLC

• Clinic/Center in New City, NY
• Providers in New City, NY by specialty
• Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2024; 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.