Active NPI
Alvin Nimo Tupaz, PT
- Physical Therapist
- Flushing, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 24252
- Practice address
- 3640 Main St
Basement Level
Flushing, NY 11354-6521 - Phone
- (718) 886-4288
- Fax
- (718) 886-4788
- NPI assigned
- Oct 18, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 24252 | NY | Primary |
Addresses
Primary practice location
3640 Main St
Basement Level
Flushing, NY 11354-6521
Mailing address
6433 98TH St
LL1
Rego Park, NY 11374-3321
Phone (718) 544-6677
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
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
151 W 46TH St
Suite 801
New York, NY 10036-0346
Phone (212) 470-0360
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24252 | NY | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| 48TH St Physical Therapy P C | Physical Therapist | Current | Accepting new patients |
| Sujit Bhattacharya MD | Past | Accepting new patients | |
| Mamaroneck Physical Therapy PC | Physical Therapist | Past | Accepting new patients |
| Woodhaven Physical Therapy & Rehab Services PLLC | Physical Therapist | Past | Accepting new patients |
Locations
1053 Morris Park Ave
Bronx, NY 10461
Phone (646) 872-0183
7146 110th St
Bsmt
Forest Hills, NY 11375
Phone (718) 687-2474
115 W 30th St
Rm 500B
New York, NY 10001
Phone (212) 470-0360
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
Organizations & group practices 5
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1023199056",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6433 98TH ST",
"address_2": "LL1",
"city": "REGO PARK",
"state": "NY",
"postal_code": "113743321",
"telephone_number": "718-544-6677",
"fax_number": "718-544-6688"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3640 MAIN ST",
"address_2": "BASEMENT LEVEL",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113546521",
"telephone_number": "718-886-4288",
"fax_number": "718-886-4788"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TUPAZ",
"first_name": "ALVIN",
"middle_name": "NIMO",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "24252",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Flushing, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.