Active NPI
James Doerbecker, PT
- Specialist
- Levittown, NY
National Provider Identifier
1124015839
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 014769
- Practice address
- 2991 Hempstead Tpke
Levittown, NY 11756-1330 - Phone
- (516) 735-7778
- Fax
- (516) 731-1945
- NPI assigned
- Sep 29, 2005
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Specialist | 174400000X | 014769 | NY | Primary |
Addresses
Primary practice location
2991 Hempstead Tpke
Levittown, NY 11756-1330
Mailing address
2920 Hempstead Tpke
Levittown, NY 11756-1402
Phone (516) 735-4048
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6400416 | Medicaid | NY |
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 |
|---|---|---|---|
| 014769 | NY | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127952000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1124015839",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2920 HEMPSTEAD TPKE",
"city": "LEVITTOWN",
"state": "NY",
"postal_code": "117561402",
"telephone_number": "516-735-4048",
"fax_number": "516-731-1945"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2991 HEMPSTEAD TPKE",
"city": "LEVITTOWN",
"state": "NY",
"postal_code": "117561330",
"telephone_number": "516-735-7778",
"fax_number": "516-731-1945"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOERBECKER",
"first_name": "JAMES",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": "014769",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6400416",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Levittown, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.