Precision Pain Care and Rehabilitation P.C.

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

256586 Issued in NY

Legal business name

PRECISION PAIN CARE AND REHABILITATION P.C.

Practice address

1300 Union Tpke
Suite 203
New Hyde Park, NY 11040-1764

Phone

(516) 503-6553

Fax

(718) 215-1889

NPI assigned

Dec 16, 2014

Last updated

Nov 22, 2016By 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

Dr. Jeffrey Chacko, M.D.NPI 1700024064

Title

President

Phone

(516) 503-6553

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in NY2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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.

• Jeffrey K Chacko, M.D.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • New Hyde Park, NY
  • NPI 1700024064
  Medicare reassignment Care Compare group NPD Authorized official
• Sonny Ahluwalia, DO

  • Physical Medicine & Rehabilitation Physician
  • New Hyde Park, NY
  • NPI 1225535982
  Medicare reassignment Care Compare group NPD
• Lew Vykka Teves

  • Physical Therapist
  • New York, NY
  • NPI 1710557574
  Medicare reassignment Care Compare group NPD
• Sadman Ahmed Elman

  • Physical Therapist
  • Staten Island, NY
  • NPI 1982384897
  Medicare reassignment Care Compare group
• Nupur Vaidya

  • Physical Therapist
  • Hicksville, NY
  • NPI 1396604393
  Medicare reassignment Care Compare group
• Luke Jansen, PT, DPT

  • Physical Therapist
  • Smithtown, NY
  • NPI 1316553639
  Medicare reassignment NPD
• Steven Mathew Gill, PA-C

  • Physician Assistant
  • New Hyde Park, NY
  • NPI 1912640152
  Medicare reassignment

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

{
    "created_epoch": "1418688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479772800000",
    "number": "1992103352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 UNION TPKE",
            "address_2": "SUITE 203",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110401764",
            "telephone_number": "516-503-6553",
            "fax_number": "718-215-1889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 UNION TPKE",
            "address_2": "SUITE 203",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110401764",
            "telephone_number": "516-503-6553",
            "fax_number": "718-215-1889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRECISION PAIN CARE AND REHABILITATION P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-16",
        "last_updated": "2016-11-22",
        "status": "A",
        "authorized_official_last_name": "CHACKO",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-503-6553",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "256586",
            "primary": true
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "NY",
            "license": "256586",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "NY",
            "license": "266586",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sheilah Rose Power, MA, CCC-SLP, TSSLD
• Kaylin Prasad, DNP, FNP-BC
• Sujata Prasad, D.D.S.
• Ashley Michelle Prawer, NP
• Harini Prayaga, DO
• Olena Predtechenska, M.D.
• Michael David Preis, D.O.
• Premier Cardiology Consultants, PLLC
• Caroline Preval, PHARM.D
• Jacqueline Lee Prevete, DPM

• Physical Medicine & Rehabilitation Physician in New Hyde Park, NY
• Providers in New Hyde Park, 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 Nov 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.