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Central Park Physical Medicine PC

Specialist in Laurelton, NY · enumerated 2010 · authorized official Samuel Theagene, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1174848501

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Registry record

Entity type Organization (Type 2)
Legal business name Central Park Physical Medicine PC
Practice address 21714 Merrick Blvd, Laurelton, NY, 11413
Phone (347) 270-8353
Fax (347) 826-1917
Enumeration date Mar 29, 2010
Last updated in NPPES Mar 30, 2015

Taxonomy & classification

174400000X Specialist Other Service Providers · License 194218-1 (NY) Primary

Authorized official

Name Samuel Theagene
Title Owner
Phone (347) 270-8353

Other identifiers

Identifier Type State Issuer
194218-1 Other NY STATE OF NY EDUCATION DEPT

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Central Park Physical Medicine PC?
NPPES lists Samuel Theagene (Owner) as the authorized official for this organization.
What is the NPI number for Central Park Physical Medicine PC?
The NPI for Central Park Physical Medicine PC is 1174848501, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2015-03-30.