Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Metro Physical Medicine PC

Specialist in Jamaica, NY · enumerated 2013 · authorized official Samuel Theagene, Owner.

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

National Provider Identifier

1679903413

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Registry record

Entity type Organization (Type 2)

Legal business name Metro Physical Medicine PC

Practice address 10825 Merrick Blvd, Jamaica, NY, 11433

Phone (718) 658-9700

Fax (718) 658-9703

Enumeration date Nov 14, 2013

Last updated in NPPES Nov 14, 2013

Taxonomy & classification

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

Authorized official

Name Samuel Theagene

Title Owner

Phone (718) 658-9700

Other identifiers

Identifier	Type	State	Issuer
135761803	Medicaid	NY	-

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.

Read the full guide → Validate an NPI →

Frequently asked questions

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2013-11-14. Verify at npiregistry.cms.hhs.gov.

Where is Metro Physical Medicine PC located?

The practice location on file with NPPES is in Jamaica, NY.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2013-11-14.