NPIMap

Organization Active NPI

Pappas Physical Medicine & Rehabilitation, PLLC

  • Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician
  • Astoria, NY
National Provider Identifier
1912221680
Registry record updated Mar 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuromuscular Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081N0008X
License
2220591 Issued in NY
Legal business name
PAPPAS PHYSICAL MEDICINE & REHABILITATION, PLLC
Practice address
3135 31St St
Astoria, NY 11106-2530
Phone
(718) 274-0300
NPI assigned
Mar 24, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2010

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

Authorized official

Name
Mr. Mike Menelaos Pappas, D.O.NPI 1538132154
Title
Owner
Phone
(516) 294-4590

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neuromuscular Medicine (Physical Medicine & Rehabilitation) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2081N0008X 2220591 NY Primary
Spinal Cord Injury Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2081P0004X 2220591 NY

Addresses

Primary practice location

3135 31St St
Astoria, NY 11106-2530

Mailing address

PO Box 9305
Garden City, NY 11530-9305
Phone (516) 294-4590

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100626000088 NY Part B Supplier - Clinic/Group Practice 7416088059 Receives reassigned benefits from 5 practitioners
Practice locations: Astoria, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 9

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

NPI Registry JSON

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

{
    "created_epoch": "1269388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269388800000",
    "number": "1912221680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9305",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115309305",
            "telephone_number": "516-294-4590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3135 31ST ST",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111062530",
            "telephone_number": "718-274-0300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAPPAS PHYSICAL MEDICINE & REHABILITATION, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-24",
        "last_updated": "2010-03-24",
        "status": "A",
        "authorized_official_last_name": "PAPPAS",
        "authorized_official_first_name": "MIKE",
        "authorized_official_middle_name": "MENELAOS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-294-4590",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "2081N0008X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Neuromuscular Medicine",
            "state": "NY",
            "license": "2220591",
            "primary": true
        },
        {
            "code": "2081P0004X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Spinal Cord Injury Medicine",
            "state": "NY",
            "license": "2220591",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Astoria, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2010; 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.