Individual provider Active NPI

Meriam Magtagad, PT

  • Physical Therapist
  • Middle Village, NY
National Provider Identifier
1144479452
Registry record updated Sep 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
025221 Issued in NY
Practice address
7904 Metropolitan Ave
Middle Village, NY 11379-2931
Phone
(718) 894-2323
Fax
(718) 894-5385
NPI assigned
Sep 10, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 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 025221 NY Primary

Addresses

Primary practice location

7904 Metropolitan Ave
Middle Village, NY 11379-2931

Mailing address

7904 Metropolitan Ave
Middle Village, NY 11379-2931
Phone (718) 894-2323

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081124000054 NY Practitioner - Physical Therapist in Private Practice 3072673896 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
025221NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Adam I Cohen DPT PC Physical Therapist CurrentSince Dec 1, 2014 Accepting new patients
Diaspo Chiropractic & Physical Therapy, PLLC Physical Therapist CurrentSince Sep 1, 2009 Accepting new patients
Panagiotis Zenetos Physician, PC PastSince May 1, 2008 Accepting new patients

Locations

20817 Jamaica Ave
Queens Vlg, NY 11428
Phone (718) 465-4500

13124 Rockaway Blvd
South Ozone Park, NY 11420
Phone (718) 322-3261

Organizations & group practices 4

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": "1221004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221004800000",
    "number": "1144479452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7904 METROPOLITAN AVE",
            "city": "MIDDLE VILLAGE",
            "state": "NY",
            "postal_code": "113792931",
            "telephone_number": "718-894-2323",
            "fax_number": "718-894-5385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7904 METROPOLITAN AVE",
            "city": "MIDDLE VILLAGE",
            "state": "NY",
            "postal_code": "113792931",
            "telephone_number": "718-894-2323",
            "fax_number": "718-894-5385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGTAGAD",
        "first_name": "MERIAM",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-10",
        "last_updated": "2008-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "025221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middle Village, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.