Ny Mobile Rehab LLC

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

Legal business name

NY MOBILE REHAB LLC

Practice address

6442 110TH St
Forest Hills, NY 11375-1436

Phone

(917) 470-4720

NPI assigned

Oct 18, 2017

Organization subpart

No

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

Authorized official

Name

Mariya Gurg

Title

Ceo

Phone

(917) 470-4720

Specialties & licenses 1

Addresses

Tax ID family

Ny Mobile Rehab LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Ny Mobile Rehab LLC

  • Adult Day Care Clinic/Center
  • Jamaica, NY
  • NPI 1215448022
  NPD tax ID

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Ny Mobile Rehab LLC

  • Adult Day Care Clinic/Center
  • Jamaica, NY
  • NPI 1215448022
  NPPES parent name

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

{
    "created_epoch": "1508284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1831600741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6442 110TH ST",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113751436",
            "telephone_number": "917-470-4720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6442 110TH ST",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113751436",
            "telephone_number": "917-470-4720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NY MOBILE REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-18",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "GURG",
        "authorized_official_first_name": "MARIYA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "917-470-4720"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Providers in Forest Hills, NY by specialty
• Rehabilitation Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.