Active NPI
United Wellness Medical, P.C.
- Physical Medicine & Rehabilitation Physician
- Flushing, NY
National Provider Identifier
1114100773
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 234017
- Legal business name
- UNITED WELLNESS MEDICAL, P.C.
- Practice address
- 3910 Main St
Suite 303
Flushing, NY 11354-5403 - Phone
- (718) 461-5900
- Fax
- (718) 461-4833
- NPI assigned
- Dec 6, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Dante Acebo Cubangbang, M.D.
- Title
- President
- Phone
- (718) 461-5900
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 234017 | NY | Primary |
Addresses
Primary practice location
3910 Main St
Suite 303
Flushing, NY 11354-5403
Mailing address
3910 Main St
Suite 303
Flushing, NY 11354-5403
Phone (718) 461-5900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02623398 | Medicaid | NY |
National Provider Directory
National Provider DirectoryLocations
3910 Main St
Ste 303
Flushing, NY 11354
Phone (718) 461-5900
Practitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Flushing, NY
- NPI 1629202221
-
- Internal Medicine Physician
- Woodside, NY
- NPI 1780772756
-
- Interventional Pain Medicine Physician
- Brooklyn, NY
- NPI 1811901044
-
- Physical Therapist
- Westbury, NY
- NPI 1285718247
-
- Physical Therapist
- Ny, NY
- NPI 1154377430
-
- Chiropractor
- Flushing, NY
- NPI 1386700672
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196899200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1269993600000",
"number": "1114100773",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3910 MAIN ST",
"address_2": "SUITE 303",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113545403",
"telephone_number": "718-461-5900",
"fax_number": "718-461-4833"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3910 MAIN ST",
"address_2": "SUITE 303",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113545403",
"telephone_number": "718-461-5900",
"fax_number": "718-461-4833"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UNITED WELLNESS MEDICAL, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2007-12-06",
"last_updated": "2010-03-31",
"status": "A",
"authorized_official_last_name": "CUBANGBANG",
"authorized_official_first_name": "DANTE",
"authorized_official_middle_name": "ACEBO",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "718-461-5900",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation",
"state": "NY",
"license": "234017",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02623398",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Flushing, NY
- United Community Anesthesia Care PLLC
- United Counseling Services LCSW PLLC
- United Global Services Corporation
- United Medical Diagnostics PC
- United Orthopaedic Appliance Co., Inc.
- Unity Massage Therapy, P.C.
- Universal Optometry P.C.
- Maria Unni, CRNA
- Unspoken Roots Psychotherapy LCSW PLLC
- Elizabeth Brooks Upham, ANP-BC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.