New York Spine & Sport Rehabilitation Medicine P.C.

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

201895 Issued in NY

Legal business name

NEW YORK SPINE & SPORT REHABILITATION MEDICINE P.C.

Practice address

1250 Waters PL Ste 710
Bronx, NY 10461-2733

Phone

(718) 794-0600

Fax

(718) 684-5728

NPI assigned

Apr 11, 2007

Last updated

Oct 19, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sireen M Gopal, MDNPI 1720183551

Title

Ower

Phone

(718) 794-0600

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY2 enrollments

Enrollment records 2

Locations

Practitioners 7

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.

• Sireen M Gopal, M.D.

  • Specialist
  • Bronx, NY
  • NPI 1720183551
  Medicare reassignment Care Compare group NPD Authorized official
• Geetha Ajay

  • School Registered Nurse
  • South Ozone Park, NY
  • NPI 1235404443
  Medicare reassignment Care Compare group NPD
• Manoj Varghese Thomas, MPT

  • Physical Therapist
  • Astoria, NY
  • NPI 1871626325
  Medicare reassignment Care Compare group NPD
• Bryan Matthew Elzholz, MD

  • Pain Medicine Physician
  • Bronx, NY
  • NPI 1730113119
  Medicare reassignment NPD
• Kamel H. Ghandour, M.D.

  • Anesthesiology Physician
  • Stamford, CT
  • NPI 1568401024

  NY

  Medicare reassignment NPD
• Sudhir Diwan, M.D

  • Anesthesiology Physician
  • New York, NY
  • NPI 1861402786
  NPD
• Viren Patel, PT

  • Physical Therapist
  • Bronx, NY
  • NPI 1821297003
  NPD

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1792368000000",
    "number": "1942423579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 WATERS PL STE 710",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104612733",
            "telephone_number": "718-794-0600",
            "fax_number": "718-684-5728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 WATERS PL STE 710",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104612733",
            "telephone_number": "718-794-0600",
            "fax_number": "718-684-5728"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 2nd Ave Fl 9",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100174709",
            "country_code": "US",
            "telephone_number": "718-794-0600",
            "fax_number": "718-794-0600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "984 N Broadway Ste 510",
            "address_purpose": "LOCATION",
            "city": "Yonkers",
            "state": "NY",
            "postal_code": "107011308",
            "country_code": "US",
            "telephone_number": "718-794-0600",
            "fax_number": "718-684-5728",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NEW YORK SPINE & SPORT REHABILITATION MEDICINE P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-11",
        "last_updated": "2026-10-19",
        "certification_date": "2026-10-19",
        "status": "A",
        "authorized_official_last_name": "GOPAL",
        "authorized_official_first_name": "SIREEN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWER",
        "authorized_official_telephone_number": "718-794-0600",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "201895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• New York Physical and Occupational Therapy, PLLC
• New York Precision Pain Management
• New York Psychotherapy LCSW P.C.
• New York Renal Associates
• New York Resource Medicine, PLLC
• New York State Center for Advanced Adult Services
• New York Surgical Supply Inc
• New York Urological Services, P.C.
• New York Westchester SQ Med Ctr
• New York Westchester Surgical, PC

• Physical Medicine & Rehabilitation Physician in Bronx, NY
• Providers in Bronx, NY by specialty
• Physical Medicine & Rehabilitation Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2026; 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.