Forest Rehabilitation Medicine PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

225293 Issued in NY

Legal business name

FOREST REHABILITATION MEDICINE PC

Practice address

3077 Hylan Blvd
Staten Island, NY 10306-4113

Phone

(718) 980-9020

Fax

(718) 980-9030

NPI assigned

Sep 26, 2011

Last updated

Jun 13, 2012By 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

Dr. Christopher Michael Perez, MDNPI 1538134226

Title

Director

Phone

(718) 876-0203

Specialties & licenses 1

Addresses

Practitioners 2

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.

• Christopher Michael Perez, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Staten Island, NY
  • NPI 1538134226
  Authorized official Same address or phone
• Kim Rodriguez-Loggins, FNP

  • Family Nurse Practitioner
  • Staten Island, NY
  • NPI 1700388790
  NPD (past)

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

{
    "created_epoch": "1316995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339545600000",
    "number": "1821371899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "361 EDISON ST",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103063043",
            "telephone_number": "718-980-0101",
            "fax_number": "718-980-1641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3077 HYLAN BLVD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103064113",
            "telephone_number": "718-980-9020",
            "fax_number": "718-980-9030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOREST REHABILITATION MEDICINE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-26",
        "last_updated": "2012-06-13",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "718-876-0203",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "225293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara Marie Forchette, PA-C
• Michelle D. Foreman, COTA/L
• Shannon Lee Foreshee, LMSW
• Forest Drugs LLC
• Forest Pharmacy LLC (Forest Pharmacy)
• Thomas Joseph Forlenza, MD
• Hannah Forman
• Phillip Forman, DPM
• Therese Lillian Formica, RN
• Thomas Forrisi, RN

• Specialist in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2012; 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.