Queens Early Intervention Physical Therapy

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

023941 Issued in NY

Legal business name

QUEENS EARLY INTERVENTION PHYSICAL THERAPY

Practice address

4 Lohmann PL
Dumont, NJ 07628-1521

Phone

(347) 724-0141

NPI assigned

Jun 22, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Paul Shoyinka, DPT

Title

President

Phone

(347) 724-0141

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1340323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340323200000",
    "number": "1104189265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 LOHMANN PL",
            "city": "DUMONT",
            "state": "NJ",
            "postal_code": "076281521",
            "telephone_number": "347-724-0141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 LOHMANN PL",
            "city": "DUMONT",
            "state": "NJ",
            "postal_code": "076281521",
            "telephone_number": "347-724-0141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUEENS EARLY INTERVENTION PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-22",
        "last_updated": "2012-06-22",
        "status": "A",
        "authorized_official_last_name": "SHOYINKA",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "347-724-0141",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "023941",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jibi Philip
• Claudia Pistachio
• Doreen Marie Pontius-Molos, L.C.S.W.
• Primes Pediatric Development Center
• Kathy Ellarene Novella Proctor, MS, BSN, RN- CCM
• Andy Ren
• Christopher J Restieri, DDS
• Elisa Baun Resuello, P.T
• Stephen Rhee
• Raymond Riker

• Physical Therapist in Dumont, NJ
• Providers in Dumont, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 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.

Verify at the official NPI Registry.