OrganizationActive
Metro Physical Medicine PC
NPI 1679903413 · Specialist · Jamaica, NY
Metro Physical Medicine PC is a Specialist organization in Jamaica, NY (NPI 1679903413).
Provider details
- NPI number
- 1679903413
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Samuel Theagene, Owner(718) 658-9700
- License
- 194218 (NY)
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(77/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
10825 Merrick Blvd
Jamaica, NY 11433-2906
Phone: (718) 658-9700
Fax: (718) 658-9703
Street-level locationGet directions
Mailing address
10825 Merrick Blvd
Jamaica, NY 11433-2906
Registry dates
- Enumerated
- 2013-11-14
- Last updated
- 2013-11-14
Frequently asked questions
- What is Metro Physical Medicine PC's NPI number?
- Metro Physical Medicine PC's National Provider Identifier (NPI) is 1679903413, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Metro Physical Medicine PC?
- Metro Physical Medicine PC is classified in the NPPES registry as Specialist (Other Service Providers).
- Where is Metro Physical Medicine PC located?
- Metro Physical Medicine PC's practice location on file with NPPES is 10825 Merrick Blvd, Jamaica, NY 11433-2906.
- What is Metro Physical Medicine PC's phone number?
- The practice phone number listed in the NPPES registry for Metro Physical Medicine PC is (718) 658-9700.
- Who is the authorized official for Metro Physical Medicine PC?
- The authorized official listed on Metro Physical Medicine PC's NPPES record is Samuel Theagene, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Metro Physical Medicine PC's NPI active?
- Yes — Metro Physical Medicine PC's NPI (1679903413) is active in the NPPES registry as of the last update on 2013-11-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.