Active NPI
Omar Al-Dweik
- Physical Therapist
- New York, NY
National Provider Identifier
1144082785
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 051340
- Practice address
- 752A Saint Nicholas Ave
New York, NY 10031-4002 - Phone
- (718) 648-0888
- Fax
- (855) 955-3899
- NPI assigned
- Jan 29, 2024
- Last updated
- Jan 29, 2024
- 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 | 051340 | NY | Primary |
Addresses
Primary practice location
752A Saint Nicholas Ave
New York, NY 10031-4002
Mailing address
8746 20TH Ave # 1L
Brooklyn, NY 11214-4802
Phone (718) 648-0888
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, NJ
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2016
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
11 Getty Ave
Paterson, NJ 07503-0002
385 Clinton Ave
Wyckoff, NJ 07481-1969
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Metro Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
| Physical Therapy of the City PC | Physical Therapist | Current | Accepting new patients |
| Madison Physical Therapy | Physical Therapist | Past | Accepting new patients |
Locations
800 E Gate Blvd
Garden City, NY 11530
752 Saint Nicholas Ave
#A
New York, NY 10031
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapy Clinic/Center
- Brooklyn, NY
- NPI 1265940399
Physical Therapist
-
- Physical Therapist
- Brooklyn, NY
- NPI 1275520918
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1706486400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706486400000",
"number": "1144082785",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8746 20TH AVE # 1L",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112144802",
"telephone_number": "718-648-0888",
"fax_number": "855-955-3899"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "752A SAINT NICHOLAS AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100314002",
"telephone_number": "718-648-0888",
"fax_number": "855-955-3899"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AL-DWEIK",
"first_name": "OMAR",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-01-29",
"last_updated": "2024-01-29",
"certification_date": "2024-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "051340",
"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 Jan 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.