Organization Active NPI

Quality Rehab Medical PLLC

  • Rehabilitation Clinic/Center
  • Brooklyn, NY
National Provider Identifier
1831455963
Registry record updated Nov 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
License
260294 Issued in NY
Legal business name
QUALITY REHAB MEDICAL PLLC
Practice address
6203 Fort Hamilton Pkwy
Brooklyn, NY 11219-5116
Phone
(718) 745-3310
NPI assigned
Apr 3, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2015

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

Authorized official

Name
Mingxu Xu, M.D.NPI 1174820476
Title
Owner
Phone
(602) 710-6834

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X 260294 NY Primary

Addresses

Primary practice location

6203 Fort Hamilton Pkwy
Brooklyn, NY 11219-5116

Mailing address

6203 Fort Hamilton Pkwy
Brooklyn, NY 11219-5116
Phone (718) 745-3310

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120409000062 NY Part B Supplier - Clinic/Group Practice 5991966509 Receives reassigned benefits from 1 practitioner
Practice locations: Flushing, NY; New York, NY

National Provider Directory

National Provider Directory

Locations

30 E 60th St
Ste 607
New York, NY 10022
Phone (212) 355-2988

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1333411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446508800000",
    "number": "1831455963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6203 FORT HAMILTON PKWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112195116",
            "telephone_number": "718-745-3310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6203 FORT HAMILTON PKWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112195116",
            "telephone_number": "718-745-3310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUALITY REHAB MEDICAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-03",
        "last_updated": "2015-11-03",
        "status": "A",
        "authorized_official_last_name": "XU",
        "authorized_official_first_name": "MINGXU",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-710-6834",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "NY",
            "license": "260294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2015; 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.