Individual provider Active NPI

Cynthia Roszkowski

  • Physical Therapist
  • Brooklyn, NY
National Provider Identifier
1306140751
Registry record updated Dec 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
033004-1 Issued in NY
Practice address
3311 Shore Pkwy
Brooklyn, NY 11235-3956
Phone
(718) 648-0888
Fax
(718) 648-0411
NPI assigned
Dec 28, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2010

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 033004-1 NY Primary

Addresses

Primary practice location

3311 Shore Pkwy
Brooklyn, NY 11235-3956

Mailing address

3311 Shore Pkwy
Brooklyn, NY 11235-3956
Phone (718) 648-0888

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120911000009 NY Practitioner - Physical Therapist in Private Practice 2365690716 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
033004-1NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Fox Rehabilitation Physical Therapy Services LLC Physical Therapist CurrentSince Jul 1, 2022 Accepting new patients
Stern at Home Physical Therapy PC Physical Therapist CurrentSince Jul 31, 2020 Accepting new patients
Holt Chiropractic Offices, P.C. Past Accepting new patients

Locations

4 Medical Park Dr
Pomona, NY 10970
Phone (845) 354-6225

4 Medical Park Dr
Ste B
Pomona, NY 10970
Phone (845) 354-3131

1415 Richmond Ave
Staten Island, NY 10314
Phone (212) 475-5540

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989

Organizations & group practices 3

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": "1293494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1293494400000",
    "number": "1306140751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3311 SHORE PKWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112353956",
            "telephone_number": "718-648-0888",
            "fax_number": "718-648-0411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3311 SHORE PKWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112353956",
            "telephone_number": "718-648-0888",
            "fax_number": "718-648-0411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSZKOWSKI",
        "first_name": "CYNTHIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-28",
        "last_updated": "2010-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "033004-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.