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

Premier East Physical Medicine and Rehabilitation, PC

Organization Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician · NPI 1275829202

Premier East Physical Medicine and Rehabilitation, PC is a Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician in Medford, New York. Licensed in New York. Registered with an NPI since 2011.

Licensed in
NY
In the registry since
2011
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

2920 Route 112
Medford, NY 11763-1451
Phone: (631) 698-3500
Fax: (631) 698-3600
Show map & directions

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

Specialties & licences

Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician (primary) Taxonomy 2081N0008X · Licence 207587 (NY)

Record details

NPI number1275829202
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Raj Tolat — Owner · (631) 698-3500
NPI enumeratedJune 28, 2011
Last updated in NPPESApril 7, 2020
Certification dateApril 7, 2020
Mailing addressPo Box 9308, Garden City, NY 11530-9308