Active NPI
Ramoncito Tiosejo Dizon, RPT
- Pediatric Physical Therapist
- New York, NY
National Provider Identifier
1003180134
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Physical Therapist
- License
- 022007-1
- Practice address
- 1615 Madison Ave
New York, NY 10029-3513 - Phone
- (212) 860-5803
- Fax
- (212) 860-6095
- NPI assigned
- Mar 7, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | 022007-1 | NY | Primary |
Addresses
Primary practice location
1615 Madison Ave
New York, NY 10029-3513
Mailing address
25 Tudor City PL Apt 1006
New York, NY 10017-6839
Phone (212) 682-8607
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1998
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
83 Maiden LN
FL 7
New York, NY 10038-5196
Phone (212) 780-2564
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 022007-1 | NY | MD | Pediatric Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nysarc Inc | Current | Accepting new patients |
Locations
83 Maiden Ln
Fl 7
New York, NY 10038
Phone (212) 780-2564
83 Maiden Ln
New York, NY 10038
Phone (212) 780-2578
83 Maiden Ln
Fl 5
New York, NY 10038
Phone (212) 780-2564
Organizations & group practices 1
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.
-
- Voluntary or Charitable Agency
- New York, NY
- NPI 1457450124
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1331078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1335398400000",
"number": "1003180134",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25 TUDOR CITY PL APT 1006",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100176839",
"telephone_number": "212-682-8607",
"fax_number": "212-682-8607"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1615 MADISON AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100293513",
"telephone_number": "212-860-5803",
"fax_number": "212-860-6095"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIZON",
"first_name": "RAMONCITO",
"middle_name": "TIOSEJO",
"name_prefix": "Mr.",
"credential": "RPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-03-07",
"last_updated": "2012-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "NY",
"license": "022007-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2012; 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.