Active NPI
Easy Care PT PC
- Clinic/Center
- South Richmond Hill, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- EASY CARE PT PC
- Practice address
- 12616 101St Ave
South Richmond Hill, NY 11419-1506 - Phone
- (201) 920-4076
- NPI assigned
- Mar 15, 2022
- Last updated
- Mar 15, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Hazem Abdelhafez
- Title
- PT
- Phone
- (201) 920-4076
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Primary |
Addresses
Primary practice location
12616 101St Ave
South Richmond Hill, NY 11419-1506
Mailing address
12616 101St Ave
South Richmond Hill, NY 11419-1506
National Provider Directory
National Provider DirectoryLocations
12616 101st Ave
South Richmond Hill, NY 11419
Phone (201) 920-4076
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Physical Therapist
- Jersey City, NJ
- NPI 1225655186
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1647302400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1647302400000",
"number": "1194473546",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12616 101ST AVE",
"city": "SOUTH RICHMOND HILL",
"state": "NY",
"postal_code": "114191506"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12616 101ST AVE",
"city": "SOUTH RICHMOND HILL",
"state": "NY",
"postal_code": "114191506",
"telephone_number": "201-920-4076"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EASY CARE PT PC",
"organizational_subpart": "NO",
"enumeration_date": "2022-03-15",
"last_updated": "2022-03-15",
"certification_date": "2022-03-15",
"status": "A",
"authorized_official_last_name": "ABDELHAFEZ",
"authorized_official_first_name": "HAZEM",
"authorized_official_title_or_position": "PT",
"authorized_official_telephone_number": "201-920-4076"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in South Richmond Hill, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.