Individual provider Active NPI

Mark Angelo M Comia, PT

  • Physical Therapist
  • New York, NY
National Provider Identifier
1023589652
Registry record updated Dec 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
139 E 57TH St
2ND and 3Rd Floor
New York, NY 10022-2102
Phone
(914) 400-1500
Fax
(914) 478-8781
NPI assigned
Dec 7, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 7, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

139 E 57TH St
2ND and 3Rd Floor
New York, NY 10022-2102

Mailing address

1255 5TH Ave FL 6
New York, NY 10029-3852
Phone (914) 400-1500

Other practice location 1

1015 Saw Mill River Rd
Ardsley, NY 10502-1118
Phone (914) 400-1500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210202000688 NJ Practitioner - Physical Therapist in Private Practice 7911243290 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Westfield Physical Therapy LLC Physical Therapist CurrentSince Jun 30, 2023 Accepting new patients

Locations

1271 Westfield Ave
Rear
Rahway, NJ 07065
Phone (908) 301-6134

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1544140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544140800000",
    "number": "1023589652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1255 5TH AVE FL 6",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100293852",
            "telephone_number": "914-400-1500",
            "fax_number": "914-478-8781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 E 57TH ST",
            "address_2": "2ND AND 3RD FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100222102",
            "telephone_number": "914-400-1500",
            "fax_number": "914-478-8781"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1015 Saw Mill River Rd",
            "address_purpose": "LOCATION",
            "city": "Ardsley",
            "state": "NY",
            "postal_code": "105021118",
            "country_code": "US",
            "telephone_number": "914-400-1500",
            "fax_number": "914-478-8781",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COMIA",
        "first_name": "MARK ANGELO",
        "middle_name": "M",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-12-07",
        "last_updated": "2018-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "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 Dec 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.