New U Physical Therapy of North Miami, PLLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

NEW U PHYSICAL THERAPY OF NORTH MIAMI, PLLC

Practice address

12550 Biscayne Blvd Ste 403
North Miami, FL 33181-2537

Phone

(646) 675-0703

Fax

(347) 857-6005

NPI assigned

Aug 19, 2022

Organization subpart

No

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

Authorized official

Name

Boris Polonskiy, MS DPTNPI 1710910112

Title

Owner

Phone

(917) 306-4109

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Boris Polonskiy, DPT

  • Physical Therapist
  • Staten Island, NY
  • NPI 1710910112

  FL

  Medicare reassignment NPD Authorized official
• Roman Kreyman, DC

  • Chiropractor
  • Wayne, NJ
  • NPI 1740207174
  NPD (past)

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

{
    "created_epoch": "1660867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660867200000",
    "number": "1154049690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12550 BISCAYNE BLVD STE 403",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331812537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12550 BISCAYNE BLVD STE 403",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331812537",
            "telephone_number": "646-675-0703",
            "fax_number": "347-857-6005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW U PHYSICAL THERAPY OF NORTH MIAMI, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-19",
        "last_updated": "2022-08-19",
        "certification_date": "2022-08-19",
        "status": "A",
        "authorized_official_last_name": "POLONSKIY",
        "authorized_official_first_name": "BORIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-306-4109",
        "authorized_official_credential": "MS DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "PT38484",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "EMR",
            "affiliation": "N",
            "address_1": "12550 Biscayne Blvd Ste 403",
            "city": "North Miami",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331812537",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Physical Therapist in North Miami, FL
• Providers in North Miami, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2022; 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.