NPIMap

Organization Active NPI

Procare Wellness Center LLC

  • Physical Therapist
  • Staten Island, NY
National Provider Identifier
1053844134
Registry record updated Apr 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
034867-1 Issued in NY
Legal business name
PROCARE WELLNESS CENTER LLC
Practice address
1492 Victory Blvd
Staten Island, NY 10301-3910
Phone
(718) 720-2288
Fax
(718) 720-5444
NPI assigned
Apr 6, 2017
Last updated
Apr 6, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2017

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

Authorized official

Name
Ashish SinhaNPI 1801140173
Title
Physical Therapist
Phone
(718) 720-2288

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 034867-1 NY Primary

Addresses

Primary practice location

1492 Victory Blvd
Staten Island, NY 10301-3910

Mailing address

1492 Victory Blvd
Staten Island, NY 10301-3910
Phone (718) 720-2288

National Provider Directory

National Provider Directory

Locations

1492 Victory Blvd
Staten Island, NY 10301
Phone (718) 720-2288

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1491436800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491436800000",
    "number": "1053844134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1492 VICTORY BLVD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103013910",
            "telephone_number": "718-720-2288",
            "fax_number": "718-720-5444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1492 VICTORY BLVD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103013910",
            "telephone_number": "718-720-2288",
            "fax_number": "718-720-5444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROCARE WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-06",
        "last_updated": "2017-04-06",
        "status": "A",
        "authorized_official_last_name": "SINHA",
        "authorized_official_first_name": "ASHISH",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "718-720-2288"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "034867-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.