Mainline Medical PC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

232881 Issued in NY

Legal business name

MAINLINE MEDICAL PC

Practice address

15817 97TH St
Howard Beach, NY 11414-3228

Phone

(718) 520-8480

Fax

(718) 228-8872

NPI assigned

Mar 17, 2014

Organization subpart

No

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

Authorized official

Name

Gregory Silver, MD

Title

President

Phone

(718) 520-8480

Specialties & licenses 1

Addresses

Tax ID family

Mainline Medical PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Mainline Medical PC

  • Sports Medicine (Physical Medicine & Rehabilitation) Physician
  • Forest Hills, NY
  • NPI 1275064826
  NPD tax ID

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

{
    "created_epoch": "1395014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395014400000",
    "number": "1962828756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10814 72ND AVE",
            "address_2": "4TH FLOOR",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113757081",
            "telephone_number": "718-520-8480",
            "fax_number": "718-228-8872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15817 97TH ST",
            "city": "HOWARD BEACH",
            "state": "NY",
            "postal_code": "114143228",
            "telephone_number": "718-520-8480",
            "fax_number": "718-228-8872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAINLINE MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-17",
        "last_updated": "2014-03-17",
        "status": "A",
        "authorized_official_last_name": "SILVER",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-520-8480",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "232881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea Michele Losito, LCAT
• Regine E Lubin-Aubourg, RDN, CDN
• Naomi Ruth Lutchman, CF-SLP
• Dominick Magnotta, PTA
• Amanda Ho Yueh Mah, FNP-C
• Carmela Anne Maio, MS CCC SLP TSHH
• Amanda Mary Mallahy, PA
• Simranjit Singh Mangat, DO
• Manidvipa Health LLC
• Tzvi Manies, NP

• Physical Medicine & Rehabilitation Physician in Howard Beach, NY
• Providers in Howard Beach, 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 Mar 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.