Stephanie Hadjail

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

044436-01 Issued in NY

Practice address

3530 64TH St
Ny, NY 11377-2354

Phone

(929) 398-8801

NPI assigned

Oct 2, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Fresh Pond Physical Therapy PCGroup PAC ID 4486605342, 12 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.

• Fresh Pond Physical Therapy, P.C

  • Physical Therapy Clinic/Center
  • Ridgewood, NY
  • NPI 1508844036
  Medicare reassignment Care Compare group
• Novel Medicine PC

  • Internal Medicine Physician
  • Rego Park, NY
  • NPI 1164682217
  Medicare reassignment NPD

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

{
    "created_epoch": "1601596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603843200000",
    "number": "1295332377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13230 57TH AVE APT 2",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113555193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3530 64TH ST",
            "city": "NY",
            "state": "NY",
            "postal_code": "113772354",
            "telephone_number": "929-398-8801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HADJAIL",
        "first_name": "STEPHANIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-02",
        "last_updated": "2020-10-28",
        "certification_date": "2020-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "044436-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Grier, ED.D., R.N.
• Laura Drake Guggenheim, LCSW
• Sonsare Gurley, RPA-C
• Bibek Gurung, RN
• Michael R Gutman, DDS
• Mehrvash Haghighi, M.D.
• Elaina Halkiotis, MOT, OTR/L
• Adrienn Hall, LMT
• Nina Harkavy, SCM, CGC
• Harlem Hospital

• Physical Therapist in Ny, NY
• Providers in Ny, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2020; 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.