New York Physical Medicine Services, PC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

219241 Issued in NY

Legal business name

NEW YORK PHYSICAL MEDICINE SERVICES, PC

Practice address

201 Moreland Rd Ste 8
Hauppauge, NY 11788-3922

Phone

(631) 517-9261

Fax

(631) 517-9276

NPI assigned

Mar 19, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Maria A. Herrera, MDNPI 1730266107

Title

President

Phone

(631) 943-3081

Specialties & licenses 1

Addresses

Other names 1

• New York Physical Medicine Doing business as

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Maria A Herrera, MD

  • Physical Medicine & Rehabilitation Physician
  • Hauppauge, NY
  • NPI 1730266107
  Medicare reassignment Authorized official
• Kadesha Sashauna Miller, PT

  • Physical Therapist
  • Great Neck, NY
  • NPI 1609494061
  Medicare reassignment NPD
• Ivan Gallegos, MD

  • Anesthesiology Physician
  • Central Islip, NY
  • NPI 1649659327
  NPD
• Bonnie Ellen Lipow, D.D.S

  • General Practice Dentistry
  • Hauppauge, NY
  • NPI 1629129564
  NPD (past)
• Gary L Sandler, DDS

  • General Practice Dentistry
  • Hauppauge, NY
  • NPI 1821012543
  NPD (past)

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652227200000",
    "number": "1861516577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 MORELAND RD STE 8",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "117883922",
            "telephone_number": "631-517-9261",
            "fax_number": "631-517-9276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 MORELAND RD STE 8",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "117883922",
            "telephone_number": "631-517-9261",
            "fax_number": "631-517-9276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW YORK PHYSICAL MEDICINE SERVICES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-19",
        "last_updated": "2022-05-11",
        "certification_date": "2022-05-11",
        "status": "A",
        "authorized_official_last_name": "HERRERA",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-943-3081",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NY",
            "license": "219241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New York Physical Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Neuro Protective Solutions, LLC
• New England Orthotics & Prosthetics Systems, LLC
• New Horizons LCSW, PC
• New Wig Salon
• New York Nursing Care Inc
• New York State
• Diandra Nicholas
• Jack Niemiec, RN
• James Nixon
• Deannie Noboa, M.A., CCC-SLP TSSLD

• Medical Specialty Clinic/Center in Hauppauge, NY
• Providers in Hauppauge, NY by specialty
• Medical Specialty Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2022; 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.