Active NPI
White Medical, PC
- Physical Medicine & Rehabilitation Physician
- Kew Gardens, NY
National Provider Identifier
1841210689
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 163661
- Legal business name
- WHITE MEDICAL, PC
- Practice address
- 11905 80TH Rd
Kew Gardens, NY 11415-1105 - Phone
- (718) 635-1210
- Fax
- (718) 663-7134
- NPI assigned
- Jul 21, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Robert Edmund White, M.D.
- Title
- President
- Phone
- (718) 635-1210
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 163661 | NY | Primary |
Addresses
Primary practice location
11905 80TH Rd
Kew Gardens, NY 11415-1105
Mailing address
11905 80TH Rd
Kew Gardens, NY 11415-1105
Phone (718) 635-1210
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 07373A | Other | NY | MEDICARE ID |
National Provider Directory
National Provider DirectoryLocations
783 Hempstead Tpke
Franklin Square, NY 11010
Phone (516) 352-4655
6815 Myrtle Ave
Glendale, NY 11385
Phone (718) 417-1150
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
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- Chiropractor
- Ardsley, NY
- NPI 1952332850
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- Chiropractor
- Levittown, NY
- NPI 1316016595
-
- Chiropractor
- Pompano Beach, FL
- NPI 1437592920
-
- Chiropractor
- Monterey, CA
- NPI 1093757122
-
- Physical Therapist
- St Augustine, FL
- NPI 1326068586
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153440000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1362096000000",
"number": "1841210689",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11905 80TH RD",
"city": "KEW GARDENS",
"state": "NY",
"postal_code": "114151105",
"telephone_number": "718-635-1210",
"fax_number": "718-663-7134"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11905 80TH RD",
"city": "KEW GARDENS",
"state": "NY",
"postal_code": "114151105",
"telephone_number": "718-635-1210",
"fax_number": "718-663-7134"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WHITE MEDICAL, PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-21",
"last_updated": "2013-03-01",
"status": "A",
"authorized_official_last_name": "WHITE",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "EDMUND",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "718-635-1210",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation",
"state": "NY",
"license": "163661",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE ID",
"identifier": "07373A",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kew Gardens, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.