Andrew Vovnoboy, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1511997

Practice address

444 Community Dr Ste 103-105
Manhasset, NY 11030-3803

Phone

(516) 365-3344

Fax

(516) 365-2060

NPI assigned

Aug 9, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Precision Care Medical PC

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Brooklyn, NY
  • NPI 1073069670
  Medicare reassignment
• Promet Physical Therapy PC

  • Physical Therapist
  • Glendale, NY
  • NPI 1710174784
  NPD
• Promet Physical Therapy, PC

  • Physical Therapist
  • Manhassett, NY
  • NPI 1184281537
  NPD (past)

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

{
    "created_epoch": "1628467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628467200000",
    "number": "1073288411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7119 80TH ST STE 8210",
            "city": "GLENDALE",
            "state": "NY",
            "postal_code": "113857733",
            "telephone_number": "718-554-6610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 COMMUNITY DR STE 103-105",
            "city": "MANHASSET",
            "state": "NY",
            "postal_code": "110303803",
            "telephone_number": "516-365-3344",
            "fax_number": "516-365-2060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VOVNOBOY",
        "first_name": "ANDREW",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-09",
        "last_updated": "2021-08-09",
        "certification_date": "2021-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": "1511997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anchara Vivek, MD
• Sony Volcin, R-PA-C
• Marabell Volcy, NP
• Glenn Scott Volpe
• Aphrodite Vorillas, REGISTERED DIETITIAN
• Sirish Vullaganti, M.D.
• Edward Vuong, MD/PHD
• Vivek Wadhwa, R.PH
• John Steven Walczyk, M.D.
• Ruth Waldbaum, MD

• Physical Therapist in Manhasset, NY
• Providers in Manhasset, 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 Aug 9, 2021; 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.