Organization Active NPI

Pinnacle Physical Medicine and Rehabilitation PC

  • Physical Medicine & Rehabilitation Physician
  • Garden City, NY
National Provider Identifier
1821319336
Registry record updated Sep 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
PINNACLE PHYSICAL MEDICINE AND REHABILITATION PC
Practice address
100 Brompton Rd
Garden City, NY 11530-2704
Phone
(917) 210-1245
Fax
(917) 508-4802
NPI assigned
Jun 18, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2010

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

Authorized official

Name
Dr. Peter Stefanides, MD
Title
President
Phone
(516) 477-7908

Specialties & licenses 1

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

Addresses

Primary practice location

100 Brompton Rd
Garden City, NY 11530-2704

Mailing address

100 Brompton Rd
Garden City, NY 11530-2704
Phone (917) 210-1245

National Provider Directory

National Provider Directory

Locations

3074 31st St
#2
Astoria, NY 11102
Phone 71898985153

3016 30th Dr
Ste 2A
Astoria, NY 11102
Phone (917) 210-1245

7815 Eliot Ave
Middle Vlg, NY 11379
Phone (718) 458-8944

Practitioners & affiliated clinicians

Practitioners 6

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": "1276819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283472000000",
    "number": "1821319336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 BROMPTON RD",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115302704",
            "telephone_number": "917-210-1245",
            "fax_number": "917-508-4802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 BROMPTON RD",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115302704",
            "telephone_number": "917-210-1245",
            "fax_number": "917-508-4802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINNACLE PHYSICAL MEDICINE AND REHABILITATION PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-18",
        "last_updated": "2010-09-03",
        "status": "A",
        "authorized_official_last_name": "STEFANIDES",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-477-7908",
        "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 Garden City, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2010; 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.