=====================================================
General NPI Number Information
=====================================================
NPI Number | 1396977567
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | OPTIMUM REHAB & WELLNESS, PLLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/20/2009
-----------------------------------------------------
Last Update Date | 04/16/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 380 RECTOR PL STE P01
-----------------------------------------------------
City | NEW YORK
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 10280-1441
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 212-786-0103
-----------------------------------------------------
Fax | 800-708-5537
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 380 RECTOR PL STE P01
-----------------------------------------------------
City | NEW YORK
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 10280-1441
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 212-786-0103
-----------------------------------------------------
Fax | 800-708-5537
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | MEDICAL DIRECTOR
-----------------------------------------------------
Name | MARGARET MEI
-----------------------------------------------------
Credential | MD
-----------------------------------------------------
Telephone | 646-388-1005
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 2081N0008X
-----------------------------------------------------
Taxonomy Name | Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician
-----------------------------------------------------
License Number | 238738
-----------------------------------------------------
License Number State | NY
-----------------------------------------------------