Active NPI
Georgious Nashed, DPT
- Physical Therapist
- Bronx, NY
National Provider Identifier
1306486972
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 042866-1
- Practice address
- 4250 White Plains Rd
Bronx, NY 10466-3022 - Phone
- (718) 515-1080
- NPI assigned
- Jan 13, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 042866-1 | NY | Primary |
Addresses
Primary practice location
4250 White Plains Rd
Bronx, NY 10466-3022
Mailing address
13534 82ND Ave
Jamaica, NY 11435-1322
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 042866-1 | NY | MD | Prosthodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1578873600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1579132800000",
"number": "1306486972",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13534 82ND AVE",
"city": "JAMAICA",
"state": "NY",
"postal_code": "114351322"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4250 WHITE PLAINS RD",
"city": "BRONX",
"state": "NY",
"postal_code": "104663022",
"telephone_number": "718-515-1080"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NASHED",
"first_name": "GEORGIOUS",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-01-13",
"last_updated": "2020-01-16",
"certification_date": "2020-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "NY",
"license": "042866-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.