Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Physical Medicine & Rehabilitation Consultant, PC

Organization Sports Medicine (Internal Medicine) Physician · NPI 1619165180

Physical Medicine & Rehabilitation Consultant, PC is a Sports Medicine (Internal Medicine) Physician in Forest Hills, New York. Licensed in New York. Registered with an NPI since 2007.

Licensed in
NY
In the registry since
2007
Specialties on file
3
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

10615 Queens Blvd
Forest Hills, NY 11375-4365
Phone: (718) 261-6366
Fax: (718) 263-3427
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pain Medicine (Physical Medicine & Rehabilitation) Physician (primary) Taxonomy 2081P2900X · Licence 141612 (NY)
Sports Medicine (Internal Medicine) Physician Taxonomy 207RS0010X · Licence 175535 (NY)
Orthopaedic Trauma Physician Taxonomy 207XX0801X · Licence 126197 (NY)

Record details

NPI number1619165180
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeffrey Cole — President · (718) 261-6366
NPI enumeratedOctober 10, 2007
Last updated in NPPESOctober 10, 2007
Mailing address10615 Queens Blvd, Forest Hills, NY 11375-4365