Manojabasingh Russaliah

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

038995 Issued in NY

Practice address

8003 211TH St
Hollis Hills
Queens Village, NY 11427-1012

Phone

(518) 364-2954

NPI assigned

Jan 24, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Mano Jaba Singh Russaliah Other name

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Fox Rehabilitation Physical Therapy Services LLCGroup PAC ID 1355395179, 226 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Fox Rehabilitation Physical Therapy Services LLC

  • Physical Therapist
  • New York, NY
  • NPI 1174560650
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1485216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491350400000",
    "number": "1275070641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4332 KISSENA BLVD",
            "address_2": "1T",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113552934",
            "telephone_number": "518-364-2954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8003 211TH ST",
            "address_2": "HOLLIS HILLS",
            "city": "QUEENS VILLAGE",
            "state": "NY",
            "postal_code": "114271012",
            "telephone_number": "518-364-2954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSALIAH",
        "first_name": "MANOJABASINGH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-01-24",
        "last_updated": "2017-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "038995",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NY",
            "license": "038995",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MANO JABA SINGH",
            "last_name": "RUSSALIAH",
            "credential": "NYS PT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Rachel Roumain, RN
• Barbara Rowe-Simpson
• Boris Rozentsvit
• Rta HTH Inc.
• Elzbieta Rudnicka
• Jatan Sabharwal, MD
• Safe Space
• Naomi Safe
• Marlene Sagesse, LPN
• Gayatri Sahai

• Orthopedic Physical Therapist in Queens Village, NY
• Providers in Queens Village, NY by specialty
• Orthopedic Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2017; 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.