Individual provider Active NPI

Paolo James Cardoza, DPT

  • Physical Therapist
  • Astoria, NY
National Provider Identifier
1154919553
Registry record updated Jan 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
046641 Issued in NY
Practice address
2365 21St St
Astoria, NY 11105-3714
Phone
(347) 207-3448
NPI assigned
Jan 2, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 2, 2021

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 046641 NY Primary

Addresses

Primary practice location

2365 21St St
Astoria, NY 11105-3714

Mailing address

2365 21St St
Astoria, NY 11105-3714

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210419001524 NY Practitioner - Physical Therapist in Private Practice 0042628752 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Madison Physical Therapy at Brooklyn Heights PCGroup PAC ID 4486889912, 2 clinicians
Riverdale Medicine,LLPGroup PAC ID 8224928445, 3 clinicians

Practice addresses (Care Compare)

161 Atlantic Ave
Suite 1
Brooklyn, NY 11201-6792
Phone (718) 852-6030

3736 Henry Hudson Pkwy E
Bronx, NY 10463-1502
Phone (718) 549-6268

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
046641NYMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Riverdale Medicine,LLP CurrentSince Mar 1, 2021 Accepting new patients
Madison Physical Therapy at Brooklyn Heights PC CurrentSince May 1, 2022 Accepting new patients

Locations

3736 Henry Hudson Pkwy
Bronx, NY 10463
Phone (718) 549-6268

161 Atlantic Ave
Brooklyn, NY 11201
Phone (718) 802-0400

161 Atlantic Ave
Ste 1
Brooklyn, NY 11201
Phone (718) 237-2150

Organizations & group practices 2

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": "1609545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609545600000",
    "number": "1154919553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2365 21ST ST",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111053714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2365 21ST ST",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111053714",
            "telephone_number": "347-207-3448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARDOZA",
        "first_name": "PAOLO",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-01-02",
        "last_updated": "2021-01-02",
        "certification_date": "2021-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "046641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Astoria, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2021; 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.

Verify at the official NPI Registry.