SL Physician PC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

SL PHYSICIAN PC

Practice address

240 W 73Rd St
New York, NY 10023-2700

Phone

(212) 362-4656

Fax

(888) 714-1889

NPI assigned

May 24, 2019

Organization subpart

No

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

Authorized official

Name

Evan Lafemina

Title

Billing Manager

Phone

(631) 741-3369

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 6

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

• Amelia A Rivera, PT, DPT

  • Physical Therapist
  • New York, NY
  • NPI 1669717880
  Medicare reassignment Care Compare group
• Alexandra Smith, PT, DPT

  • Physical Therapist
  • New York, NY
  • NPI 1912741307
  Medicare reassignment Care Compare group
• Melissa Jesski, PT, DPT

  • Physical Therapist
  • New York, NY
  • NPI 1548682966
  Medicare reassignment
• Brian Shtab

  • Physical Therapist
  • New York, NY
  • NPI 1902518426
  Medicare reassignment
• Susan Lunardi, PT, DPT

  • Physical Therapist
  • San Francisco, CA
  • NPI 1710639570

  NY

  Medicare reassignment
• Sonali Lal, MD

  • Physical Medicine & Rehabilitation Physician
  • New York, NY
  • NPI 1538189642
  NPD (past)

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

{
    "created_epoch": "1558656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592956800000",
    "number": "1952968968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 W 73RD ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100232700",
            "telephone_number": "212-362-4656",
            "fax_number": "888-714-1889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 W 73RD ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100232700",
            "telephone_number": "212-362-4656",
            "fax_number": "888-714-1889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SL PHYSICIAN PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-24",
        "last_updated": "2020-06-24",
        "certification_date": "2020-06-24",
        "status": "A",
        "authorized_official_last_name": "LAFEMINA",
        "authorized_official_first_name": "EVAN",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "631-741-3369"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NYS MEDICAL LICENSE",
            "identifier": "240678",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Skyline Counseling Center P.C.
• Skyline Dental, P.C.
• Skyline Pharmacy Inc.
• Skyline Physical Medicine & Rehabilitation PC
• SL Medical Services PC
• SL Wellness Acupuncture PC
• Christine Slack
• Daniel Jeffrey Slack, MD
• Susan T Slack, R.N.
• Brenda Dawn Slade, N.P.

• Physical Medicine & Rehabilitation Physician in New York, NY
• Providers in New York, 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 Jun 24, 2020; 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.