Individual provider Active NPI

David Jonathan Dembitzer, P.T

  • Physical Therapist
  • Far Rockaway, NY
National Provider Identifier
1124069489
Registry record updated Apr 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
0259911 Issued in NY
Practice address
619 Elvira Ave
Far Rockaway, NY 11691-5404
Phone
(917) 468-5253
NPI assigned
Jun 9, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 7, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 0259911 NY Primary

Addresses

Primary practice location

619 Elvira Ave
Far Rockaway, NY 11691-5404

Mailing address

619 Elvira Ave
Far Rockaway, NY 11691-5404
Phone (718) 327-3037

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

LicenseStateTypeSpecialty
0259911NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced PT Rehabilitation Associates, PC Physical Therapist PastSince Feb 1, 2008 Accepting new patients
Achieve Physical Therapy Services of New York PLLC Physical Therapist PastSince Aug 1, 2007 Accepting new patients
Midwood Physical Therapy of Brooklyn, PC Physical Therapist PastSince Dec 21, 2007 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207526400000",
    "number": "1124069489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "619 ELVIRA AVE",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "116915404",
            "telephone_number": "718-327-3037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "619 ELVIRA AVE",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "116915404",
            "telephone_number": "917-468-5253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMBITZER",
        "first_name": "DAVID",
        "middle_name": "JONATHAN",
        "credential": "P.T",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-09",
        "last_updated": "2008-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "0259911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Far Rockaway, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2008; 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.