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NPI · 1770880403 · NPPES-sourced

Innovative Rehabilitation Consultant Medical PC

ActivePain Clinic/Center
NPI Number
1770880403
Type 2 · Organisation
Taxonomy Code
261QP3300X
Contact
(718) 275-5200
License NY · 241269
Last Updated
Enumerated
Primary practice addressNY · 11374-4245
9701 66th AveRego Park, NY 11374-4245
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About this NPIWhat this record shows.

NPI 1770880403 is registered to Innovative Rehabilitation Consultant Medical PC, a healthcare organisation classified as "Pain Clinic/Center" and located at 9701 66th Ave in Rego Park, New York. The organisation's authorised official is Dmitriy Fuzaylov. The organisation has been enumerated in the NPI registry since 2011.

Provider type
Organisation (Type 2)
Status
Active
Enumerated
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Medicare enrollment

This provider holds 2 Medicare enrollments on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Part B Supplier

DME Supplier

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Innovative Rehabilitation Consultant Medical PC accepts. To confirm in-network status with your specific health plan, contact Innovative Rehabilitation Consultant Medical PC directly at (718) 275-5200.

Frequently asked

Yes. NPI 1770880403 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Pain Clinic/Center is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (718) 275-5200.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Innovative Rehabilitation Consultant Medical PC is a Type-2 organisational NPI.

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Quick facts

Provider typeOrganisation
Taxonomy261QP3300X
Last updated
Enumerated
StatusActive
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