Nino Pompeyo Rocco Altamirano Borja, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

028810 Issued in NY

Practice address

6241 Woodhaven Blvd
Rego Park, NY 11374-3731

Phone

(929) 607-3271

Fax

(929) 607-3267

NPI assigned

Jun 4, 2007

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Dynamism Physical Therapy, P.C.

  • Physical Therapy Clinic/Center
  • Rego Park, NY
  • NPI 1245881457
  Medicare reassignment Authorized official
• Step-Up Ny Physical Therapy, PC

  • Physical Therapy Clinic/Center
  • Rego Park, NY
  • NPI 1154079309
  NPD Authorized official
• D.a.C. Physical Medicine, P.C.

  • Physical Medicine & Rehabilitation Physician
  • Great Neck, NY
  • NPI 1871821504
  NPD (past)
• Wyckoff Medical Services, P C

  • Internal Medicine Physician
  • Brooklyn, NY
  • NPI 1558308411
  NPD (past)
• Zhanna Roit, M.D. P.C

  • Physical Medicine & Rehabilitation Physician
  • Great Neck, NY
  • NPI 1144266941
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1180915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684454400000",
    "number": "1003018920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 WOODFIELD RD",
            "city": "WEST HEMPSTEAD",
            "state": "NY",
            "postal_code": "115522528",
            "telephone_number": "908-922-5762",
            "fax_number": "516-565-0929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6241 WOODHAVEN BLVD",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113743731",
            "telephone_number": "929-607-3271",
            "fax_number": "929-607-3267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORJA",
        "first_name": "NINO POMPEYO ROCCO",
        "middle_name": "ALTAMIRANO",
        "name_prefix": "Mr.",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-04",
        "last_updated": "2023-05-19",
        "certification_date": "2023-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "028810",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06050059",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "12029482",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sharon M Bonner
• Borina Home Care Agency, Inc
• Tatiana Borinos, D.D.S.
• Boris Kapelnik OD P.C.
• Boris Livshin Physician, PC
• Lyle Bruce Borman, D.D.S.
• Inessa Borochov, DPM
• Ruben Borukhov, LIC ACUPUNCTURIST
• Marina Borukhova, FNP
• Sofiya Borukhova, OTA

• Physical Therapist in Rego Park, NY
• Providers in Rego Park, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.