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METRO PHYSICAL MEDICINE PC
NPI 1679903413
Specialist in Jamaica, NY

Active since November 14, 2013
10825 MERRICK BLVD, JAMAICA, NY 11433(718) 658-9700(718) 658-9703 Get Directions Write a Review

NPPES record last updated: November 14, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Metro Physical Medicine Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

METRO PHYSICAL MEDICINE PC (NPI 1679903413) is a healthcare organization registered as a specialist in Jamaica, New York and active in the NPI registry since November 2013. The organization lists Samuel Theagene, Owner, as its authorized official.

NPPES Registry Identity

NPI1679903413
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameMETRO PHYSICAL MEDICINE PC
Location Address10825 MERRICK BLVDJamaica, NY 11433-2906
Mailing Address10825 Merrick BlvdJamaica, NY 11433-2906 · (718) 658-9700 · Fax (718) 658-9703
Phone(718) 658-9700
Fax(718) 658-9703
Organization SubpartNo
Authorized OfficialSamuel TheageneOwner · (718) 658-9700
Enumeration DateNovember 14, 2013
✔ NPI 1679903413 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in NY · 194218
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
10825 MERRICK BLVD, Jamaica, NY 11433
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Other Identifiers 2

Medicaid135761803NY
Medicare PIN8535K0

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SOUTH MERRICK NP IN ADULT HEALTH P.C.
Internal Medicine
10825 MERRICK BLVD
JAMAICA, NY 11433
Queens County (718) 658-9700
CRESCENT MEDICAL PC
Family Medicine
10825 MERRICK BLVD
JAMAICA, NY 11433
Queens County (718) 658-9700
SMART INSPIRE PHYSICAL THERAPY PC
Clinic/Center
10825 MERRICK BLVD
JAMAICA, NY 11433
Queens County (718) 658-9700
STABLE HANDS CHIROPRACTIC PC
Chiropractor (Rehabilitation)
10825 MERRICK BLVD
JAMAICA, NY 11433
Queens County (718) 658-9700
ACE EMERGENT MEDICAL CARE PC
Emergency Medical Technician, Basic
10825 MERRICK BLVD
JAMAICA, NY 11433
Queens County (718) 658-9700
DR. SIMONE DESOUZA PHYSICAL THERAPIST
Physical Therapist
10825 MERRICK BLVD
JAMAICA, NY 11433
Queens County (718) 341-6800
ROSE CHIROPRACTIC, HEALTH & WELLNESS P.C.
Chiropractor
10825 MERRICK BLVD
JAMAICA, NY 11433
Queens County (718) 658-9700
DR. ROLAND ROSE DC
Chiropractor
10825 MERRICK BLVD
JAMAICA, NY 11433
Queens County (718) 658-9700

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Metro Physical Medicine PC's NPI number?

The NPI number for Metro Physical Medicine PC is 1679903413. It was assigned to this organization in the NPPES registry on November 14, 2013.

Where is Metro Physical Medicine PC located?

Metro Physical Medicine PC is located at 10825 Merrick Blvd, Jamaica, NY 11433. The listed phone number is (718) 658-9700.

What is Metro Physical Medicine PC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Metro Physical Medicine PC was last updated on November 14, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.