Active NPI
Pape Diagne
- Physical Therapist
- New York, NY
National Provider Identifier
1124755335
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 233 Malcolm X Blvd
New York, NY 10027-6498 - Phone
- (212) 222-6525
- Fax
- (212) 222-6524
- NPI assigned
- Aug 7, 2022
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
233 Malcolm X Blvd
New York, NY 10027-6498
Mailing address
325 79TH St Apt 35
North Bergen, NJ 07047-5667
Phone (703) 851-7292
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 |
|---|---|---|---|
| 049462 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Park North Physical Therapy, PLLC | Current | Accepting new patients |
Locations
2804 Broadway
New York, NY 10025
Phone (212) 222-6525
Organizations & group practices 1
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.
-
- Physical Therapy Clinic/Center
- New York, NY
- NPI 1194930511
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1659830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659830400000",
"number": "1124755335",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "325 79TH ST APT 35",
"city": "NORTH BERGEN",
"state": "NJ",
"postal_code": "070475667",
"telephone_number": "703-851-7292"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "233 MALCOLM X BLVD",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100276498",
"telephone_number": "212-222-6525",
"fax_number": "212-222-6524"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIAGNE",
"first_name": "PAPE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-08-07",
"last_updated": "2022-08-07",
"certification_date": "2022-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.