EASTERN PHYSICAL MEDICINE AND REHABILITATION PC (NPI# 1780819383) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780819383 |
| Entity Type | Organization |
| Organization Name | EASTERN PHYSICAL MEDICINE AND REHABILITATION PC |
| Practice Address |
36 Aspen Rd Kings Park NY 11754-3401 |
| Practice Telephone | 6465776654 |
| Practice Fax Number | 3473746315 |
| Mailing Telephone | 6465776654 |
| Mailing Fax Number | 3473746315 |
| Enumeration Date | 2009-05-26 |
| Last Update Date | 2009-05-26 |
| Authorized Official Name | YONG CHI (PRESIDENT) |
| Authorized Official Telephone | 6465776654 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251X00000X | Supports Brokerage | 243073 | NY | Agencies |
| Street Address |
36 ASPEN RD |
| City | KINGS PARK |
| State | NY |
| Zip Code | 11754-3401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821450214 | Brianna Mckee | Behavior Technician | 46 Boxwood Dr, Kings Park, NY 11754 | 2016-03-24 |
| 1144681438 | Giuseppe M Massaro | Pharmacist | 750 Rt 25a, Kings Park, NY 11754 | 2016-03-14 |
| 1003272667 | Lindsay Rose Sommo | Speech-Language Pathologist | 1156 Saint Johnland Rd, Kings Park, NY 11754 | 2016-01-12 |
| 1508235292 | Cvs Health | Pharmacist | 750 Ny-25a, Kings Park, NY 11754 | 2015-09-23 |
| 1710364328 | John Gentile Dds PC | Clinic/Center | 7 Meridian Avenue, Kings Park, NY 11754 | 2015-05-04 |
| 1235534074 | Danielle Hefets | Occupational Therapist | 149 Lakebridge Drive N, Kings Park, NY 11754 | 2014-10-22 |
| 1841609708 | Joan O'connor | Counselor | 1 Village Plaza, Suite 302/304, Kings Park, NY 11754 | 2014-08-05 |
| 1376956102 | Eric D Ludwig | Optometrist | 40 Boxwood Dr, Kings Park, NY 11754 | 2014-06-10 |
| 1336568682 | Richard Nemiroff | Social Worker | 42 Old Northport Rd, Kings Park, NY 11754 | 2014-04-15 |
| 1851713382 | Ryan Barkey | Emergency Medical Technician, Basic | 15 Columbus Ave, Kings Park, NY 11754 | 2014-01-17 |
| Find all providers in zip 11754 | ||||
| Taxonomy Code | 251X00000X |
| Grouping | Agencies |
| Classification | Supports Brokerage |
| A provider of service/function that assists participating individuals to make informed decisions about what will work best for them is consistent with their needs and reflects their individual circumstances. Serving as the agent of the individual, the service is available to assist in identifying immediate and long-term needs, developing options to meet those needs and accessing identified supports and services and may include assistance with recruiting, screening, hiring, and training in-home support providers. A family or person-centered planning approach is used. Supports Brokerage offers practical skills training to enable families and individuals to remain independent. Examples of skills training include providing information on recruiting and hiring personal care workers, managing personal care workers and providing information on effective communication and problem solving. The service/function provides sufficient information to assure that individuals understand the responsibilities involved with self-direction and assist in the development of an effective back-up and emergency plan. Plans may elect to fulfill the requirement of this service/function using a self-directed case manager or creating a distinct service. The Supports Brokerage documents the need for assistive services, planning for and documenting the use of excess funds and locating and maintaining services. |
| Notes: Source: CMS Independence Plus Waiver template. [7/1/2006: new] |
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| 1093351116 | Physiobilling LLC | Supports Brokerage | 17 Spector Ln, Plainview, NY 11803-4832 | 2019-11-24 |
| 1437714748 | Adk Strategy Group LLC | Supports Brokerage | 2428 Brookshire Dr, Niskayuna, NY 12309-2824 | 2019-05-02 |
| 1932696010 | True Village, Inc. | Supports Brokerage | 64 Lozier St, Rochester, NY 14611-2520 | 2018-04-15 |
| 1912432808 | Precious Worcs Inc | Supports Brokerage | 25307 Memphis Ave, Rosedale, NY 11422-2527 | 2017-04-27 |
| 1689124976 | Hipolito Baez | Supports Brokerage | 2123 Boston Rd, 4e, Bronx, NY 10460-2240 | 2016-10-11 |
| 1275909210 | Ggi Brokerage Inc | Supports Brokerage | 4307 39th Pl Ste Ld, Suite #ld, Sunnyside, NY 11104-4363 | 2015-08-13 |
| 1114298189 | Tecnico Consulting LLC | Supports Brokerage | 2113 East 14th St, Suite # 1f, Brooklyn, NY 11229-4387 | 2012-01-23 |
| 1336441575 | Brian Gordon & Associates, Inc. | Supports Brokerage | 72 Corbett Dr, East Quogue, NY 11942-3841 | 2010-11-20 |
| 1255669065 | Gotham City Medical Biling Servicess LLC | Supports Brokerage | 150 Greaves Ln Ste L, Suite 360, Staten Island, NY 10308-2173 | 2009-12-07 |
| 1134391246 | Codbi Corp. | Supports Brokerage | 3603 Quentin Rd Fl 2, Brooklyn, NY 11234-4203 | 2008-03-28 |
| Find all providers with the same taxonomy | ||||
| City | KINGS PARK |
| Zip Code | 11754 |
Please comment or provide details below to improve the information on EASTERN PHYSICAL MEDICINE AND REHABILITATION PC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.