Avinya PT PC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

AVINYA PT PC

Practice address

25220 Northern Blvd Ste 20225220
Little Neck, NY 11362-1300

Phone

(347) 836-8914

Fax

(347) 853-4870

NPI assigned

Aug 1, 2023

Organization subpart

No

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

Authorized official

Name

Hyuk Jegal, PTNPI 1700518917

Title

Owner

Phone

(347) 836-8914

Specialties & licenses 1

Addresses

Practitioners 1

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

• Hyuk Jegal, PHYSICAL THERAPIST

  • Physical Therapist
  • Newyork City, NY
  • NPI 1700518917
  NPD Authorized official

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

{
    "created_epoch": "1690848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690848000000",
    "number": "1295417137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25220 NORTHERN BLVD STE 20225220",
            "city": "LITTLE NECK",
            "state": "NY",
            "postal_code": "113621300",
            "telephone_number": "347-836-8914",
            "fax_number": "347-853-4870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25220 NORTHERN BLVD STE 20225220",
            "city": "LITTLE NECK",
            "state": "NY",
            "postal_code": "113621300",
            "telephone_number": "347-836-8914",
            "fax_number": "347-853-4870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVINYA PT PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-01",
        "last_updated": "2023-08-01",
        "certification_date": "2023-08-01",
        "status": "A",
        "authorized_official_last_name": "JEGAL",
        "authorized_official_first_name": "HYUK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "347-836-8914",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Vincent Dominic Bavaro I, RN
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• Physical Therapist in Little Neck, NY
• Providers in Little Neck, 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 Aug 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.