Active NPI
Stephan E Ungar, PT
- Physical Therapist
- Patchogue, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 011026-1
- Practice address
- 440 Waverly Ave Ste 5
Patchogue, NY 11772-1597 - Phone
- (631) 758-5700
- Fax
- (631) 758-7005
- NPI assigned
- Aug 30, 2006
- Sex
- Male
- Sole proprietor
- No
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 | 011026-1 | NY | Primary |
Addresses
Primary practice location
440 Waverly Ave Ste 5
Patchogue, NY 11772-1597
Mailing address
440 Waverly Ave Ste 5
Patchogue, NY 11772-1597
Phone (631) 758-5700
Other identifiers 13
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 139551P | Other | NY | HIP |
| 14378140 | Other | FIRST HEALTH | |
| 2788 | Other | NY | HERITAGE |
| P1939994 | Other | OXFORD | |
| 43641478 | Other | NY | AETNA |
| 65002050 | Other | NY | RAIL ROAD MEDICARE |
| 102481 | Other | NY | VYTRA |
| SF0003105 | Other | NY | SELECT PRO |
| 2287876 | Other | NY | AETNA |
| 11350404040 | Other | NY | NO FAULT |
| 1259717 | Other | NY | UNITED HEALTH CARE |
| Q86011 | Other | NY | EMPIRE BLUE CROSS / SHIEL |
| AZ00653 | Other | NY | MDNY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- State Un of Ny, Stony Brook School of Dental Med, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
440 Waverly Ave
Suite 5
Patchogue, NY 11772-1597
Phone (631) 758-5700
800 E Gate Blvd
Garden City, NY 11530-2105
Phone (516) 745-8070
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 011026-1 | NY | MD | Adult Development & Aging Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Motion Dynamics Physical Therapy PC | Physical Therapist | Current | Accepting new patients |
| Metro Physical Occupational Speech Massage Therapy & Acupuncture PLLC | Physical Therapist | Current | Accepting new patients |
Locations
800 E Gate Blvd
Garden City, NY 11530
50 Glen Cove Rd
Greenvale, NY 11548
Phone (516) 200-3545
440 Waverly Ave
Ste 5
Patchogue, NY 11772
Phone (631) 758-5700
322 W Main St
Patchogue, NY 11772
Phone 5167458070520
11701 84th Ave
Richmond Hill, NY 11418
Phone (718) 441-0300
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H9678
Organizations & group practices 2
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.
-
- Occupational Therapist
- Garden City, NY
- NPI 1356742365
Physical Therapist
-
- Physical Medicine & Rehabilitation Physician
- Patchogue, NY
- NPI 1306022272
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1205193600000",
"number": "1306955547",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "440 WAVERLY AVE STE 5",
"city": "PATCHOGUE",
"state": "NY",
"postal_code": "117721597",
"telephone_number": "631-758-5700",
"fax_number": "631-758-7005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "440 WAVERLY AVE STE 5",
"city": "PATCHOGUE",
"state": "NY",
"postal_code": "117721597",
"telephone_number": "631-758-5700",
"fax_number": "631-758-7005"
}
],
"practiceLocations": [],
"basic": {
"last_name": "UNGAR",
"first_name": "STEPHAN",
"middle_name": "E",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-30",
"last_updated": "2008-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "011026-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIP",
"identifier": "139551P",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST HEALTH",
"identifier": "14378140",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HERITAGE",
"identifier": "2788",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "P1939994",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "43641478",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAIL ROAD MEDICARE",
"identifier": "65002050",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VYTRA",
"identifier": "102481",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SELECT PRO",
"identifier": "SF0003105",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "2287876",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NO FAULT",
"identifier": "11350404040",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH CARE",
"identifier": "1259717",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPIRE BLUE CROSS / SHIEL",
"identifier": "Q86011",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MDNY",
"identifier": "AZ00653",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Patchogue, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2008; 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.