Active NPI
Alvin Jandongan De Oca
- Physical Therapist
- Farmingdale, NY
National Provider Identifier
1073872107
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 033649-1
- Practice address
- 216 Staples St
2F
Farmingdale, NY 11735-4241 - Phone
- (516) 342-1572
- NPI assigned
- May 9, 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 033649-1 | NY | Primary |
Addresses
Primary practice location
216 Staples St
2F
Farmingdale, NY 11735-4241
Mailing address
216 Staples St
2F
Farmingdale, NY 11735-4241
Phone (516) 342-1572
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 033649-1 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Island Musculoskeletal Care MD PC | Physical Therapist | Current | Accepting new patients |
| Island Musculoskeletal Care, .D., P.C. | Physical Therapist | Current | Accepting new patients |
| Island Musculoskeletal Care MD PC | Physical Therapist | Current | Accepting new patients |
Locations
1993 Deer Park Ave
Deer Park, NY 11729
Phone (631) 242-4031
Organizations & group practices 3
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.
-
- Orthopaedic Surgery Physician
- Hewlett, NY
- NPI 1063524197
Physical Therapist
-
- Orthopaedic Surgery Physician
- Richmond Hill, NY
- NPI 1780071548
Physical Therapist
-
- Orthopaedic Surgery Physician
- Deer Park, NY
- NPI 1326150707
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1336521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1336521600000",
"number": "1073872107",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "216 STAPLES ST",
"address_2": "2F",
"city": "FARMINGDALE",
"state": "NY",
"postal_code": "117354241",
"telephone_number": "516-342-1572"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "216 STAPLES ST",
"address_2": "2F",
"city": "FARMINGDALE",
"state": "NY",
"postal_code": "117354241",
"telephone_number": "516-342-1572"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DE OCA",
"first_name": "ALVIN",
"middle_name": "JANDONGAN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-05-09",
"last_updated": "2012-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "033649-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Farmingdale, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.