Individual provider Active NPI

Rene Eral Paran, PT

  • Physical Therapist
  • Brooklyn, NY
National Provider Identifier
1144538976
Registry record updated Sep 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT020463 Issued in PA
Practice address
1559 E 13TH St
FL 1
Brooklyn, NY 11230-7105
Phone
(718) 975-7338
Fax
(718) 228-4488
NPI assigned
Sep 14, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2020

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 PT020463 PA Primary

Addresses

Primary practice location

1559 E 13TH St
FL 1
Brooklyn, NY 11230-7105

Mailing address

5409 7 LKS W
West End, NC 27376-9319
Phone (917) 399-4875

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201022000862 NY Practitioner - Physical Therapist in Private Practice 6305266107 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT020463PAMDPhysical Therapist
030887NYMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Org Medical PLLC CurrentSince Nov 1, 2022 Accepting new patients
Bukhman MD PC Past Accepting new patients

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989

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": "1284422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600646400000",
    "number": "1144538976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5409 7 LKS W",
            "city": "WEST END",
            "state": "NC",
            "postal_code": "273769319",
            "telephone_number": "917-399-4875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1559 E 13TH ST",
            "address_2": "FL 1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112307105",
            "telephone_number": "718-975-7338",
            "fax_number": "718-228-4488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARAN",
        "first_name": "RENE",
        "middle_name": "ERAL",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-09-14",
        "last_updated": "2020-09-21",
        "certification_date": "2020-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT020463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2020; 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.