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NEW YORK SPINE & SPORT REHABILITATION MEDICINE P.C.
NPI 1942423579
Specialist in Bronx, NY

Active since April 11, 2007
1250 WATERS PL STE 710, BRONX, NY 10461(718) 794-0600(718) 684-5728 Get Directions Write a Review

NPPES record last updated: May 1, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About New York Spine & Sport Rehabilitation Medicine P.c. NPPES

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

NEW YORK SPINE & SPORT REHABILITATION MEDICINE P.C. (NPI 1942423579) is a healthcare organization registered as a specialist in Bronx, New York and active in the NPI registry since April 2007. The organization maintains 2 additional practice locations and lists Sireen M Gopal, Ower, as its authorized official.

NPPES Registry Identity

NPI1942423579
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameNEW YORK SPINE & SPORT REHABILITATION MEDICINE P.C.
Location Address1250 WATERS PL STE 710Bronx, NY 10461-2733
Mailing Address1250 Waters Pl Ste 710Bronx, NY 10461-2733 · (718) 794-0600 · Fax (718) 684-5728
Phone(718) 794-0600
Fax(718) 684-5728
Organization SubpartNo
Authorized OfficialSireen M GopalOwer · (718) 794-0600
Enumeration DateApril 11, 2007
Last NPPES UpdateMay 1, 2025
NPPES CertifiedMay 1, 2025
✔ NPI 1942423579 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in NY · 201895
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.
1250 WATERS PL STE 710, Bronx, NY 10461
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Secondary Practice Locations 2

Location 1800 2nd Ave Fl 9New York, NY 10017-4709 · Phone (718) 794-0600 · Fax (718) 794-0600
Location 2984 N Broadway Ste 510Yonkers, NY 10701-1308 · Phone (718) 794-0600 · Fax (718) 684-5728

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

New York Spine & Sport Rehabilitation Medicine P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to New York Spine & Sport Rehabilitation Medicine P.C., which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Sireen Gopal, M.D.
Physical Medicine and Rehabilitation
NPI 1720183551
1250 WATERS PL STE 710
Bronx, NY 10461
(718) 794-0600
✔ PECOS✔ Accepts MedicareSame address
Manoj Thomas, MPT
Physical Therapist in Private Practice
NPI 1871626325
25-19 ASTORIA BLVD
Astoria, NY 11102
(718) 278-2500
✔ Accepts Medicare7.1 mi
Geetha Ajay
Nurse Practitioner
NPI 1235404443
12915 150TH AVE
South Ozone Park, NY 11420
(718) 529-8720
✔ PECOS✔ Accepts Medicare13 mi
Kamel Ghandour, M.D.
Anesthesiology
NPI 1568401024
107 GLENBROOK RD
Stamford, CT 06902
(203) 658-7588
✔ PECOS✔ Accepts Medicare22 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 New York Spine & Sport Rehabilitation Medicine P.C.'s NPI number?

The NPI number for New York Spine & Sport Rehabilitation Medicine P.C. is 1942423579. It was assigned to this organization in the NPPES registry on April 11, 2007.

Where is New York Spine & Sport Rehabilitation Medicine P.C. located?

New York Spine & Sport Rehabilitation Medicine P.C. is located at 1250 Waters Pl Ste 710, Bronx, NY 10461. The listed phone number is (718) 794-0600.

What is New York Spine & Sport Rehabilitation Medicine P.C.'s specialty?

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

Is New York Spine & Sport Rehabilitation Medicine P.C. enrolled in Medicare?

Yes. New York Spine & Sport Rehabilitation Medicine P.C. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through New York Spine & Sport Rehabilitation Medicine P.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to New York Spine & Sport Rehabilitation Medicine P.C., in Anesthesiology, Nurse Practitioner, Physical Medicine and Rehabilitation and Physical Therapist in Private Practice. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for New York Spine & Sport Rehabilitation Medicine P.C. was last updated on May 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.