# STATEN ISLAND MEDICAL REHABILITATION, P.C.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1912055245
- **Authorized official:** DR. ADOLPH B. MEYER MD (OWNER)
- **Authorized official phone:** (718) 966-7940

## Contact information

- **Practice address:** 2460 VICTORY BLVD, STATEN ISLAND, NY 10314-6612
- **Practice address phone:** (718) 966-7940
- **Practice address fax:** (718) 966-4382
- **Mailing address:** 2460 VICTORY BLVD, STATEN ISLAND, NY 10314-6612
- **Mailing address phone:** (718) 966-7940
- **Mailing address fax:** (718) 966-4382

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | 198050 | NY | Yes |

## Other

- **Enumeration date:** 01/05/2007
- **Last updated:** 06/08/2026