Individual provider Active NPI

Alexander E Dolsky, PT

  • Physical Therapist
  • Forest Hills, NY
National Provider Identifier
1316013923
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
09321 Issued in NY
Practice address
110 45 Queens Blvd
Suite 105
Forest Hills, NY 11375
Phone
(718) 575-5100
Fax
(718) 575-0609
NPI assigned
Nov 27, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 09321 NY Primary

Addresses

Primary practice location

110 45 Queens Blvd
Suite 105
Forest Hills, NY 11375

Mailing address

110 45 Queens Blvd
Suite 105
Forest Hills, NY 11375
Phone (718) 575-5100

Other identifiers 1

IdentifierTypeStateIssuer
01751968MedicaidNY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120220000100 NY Practitioner - Physical Therapist in Private Practice 1759548126 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alexander Dolsky PTPCGroup PAC ID 9638345978, 5 clinicians

Practice addresses (Care Compare)

110 -45 Queens Blvd
105 Suite 105
Forest Hills, NY 11375-5519

11045 Queens Blvd
Suite 105
Forest Hills, NY 11375-5519
Phone (718) 575-5100

90 -33 Elmhurst Ave
Jackson Heights, NY 11372-7935
Phone (718) 565-2970

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
009321NYMDOptometrist
09321NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Alexander Dolsky PTPC Physical Therapist CurrentSince Oct 21, 1987 Accepting new patients

Locations

11045 Queens Blvd
Ste 105
Forest Hills, NY 11375
Phone (718) 575-5100

9033 Elmhurst Ave
#105
Jackson Heights, NY 11372

9033 Elmhurst Ave
Ste 105
Jackson Heights, NY 11372

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1164585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1316013923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 45 QUEENS BLVD",
            "address_2": "SUITE 105",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "11375",
            "telephone_number": "718-575-5100",
            "fax_number": "718-575-0609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 45 QUEENS BLVD",
            "address_2": "SUITE 105",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "11375",
            "telephone_number": "718-575-5100",
            "fax_number": "718-575-0609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOLSKY",
        "first_name": "ALEXANDER",
        "middle_name": "E",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "09321",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01751968",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Hills, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.