Ny Core Physical Therapy, PC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

NY CORE PHYSICAL THERAPY, PC

Practice address

4711 Bell Blvd
Bayside, NY 11361-3333

Phone

(718) 423-5100

NPI assigned

Feb 12, 2020

Last updated

Feb 12, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sejoong ParkNPI 1285961177

Title

DPT/ President

Phone

(718) 423-5100

Specialties & licenses 1

Addresses

Tax ID family

Ny Core Physical Therapy P C2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Ny Core Physical Therapy, P.C.

  • Physical Therapy Clinic/Center
  • Williston Park, NY
  • NPI 1497313274
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• SE Joong Park, DPT

  • Physical Therapist
  • Bayside, NY
  • NPI 1285961177
  NPD Authorized official

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

{
    "created_epoch": "1581465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581465600000",
    "number": "1316579857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4711 BELL BLVD",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113613333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4711 BELL BLVD",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113613333",
            "telephone_number": "718-423-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NY CORE PHYSICAL THERAPY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-12",
        "last_updated": "2020-02-12",
        "certification_date": "2020-02-12",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "SEJOONG",
        "authorized_official_title_or_position": "DPT/ PRESIDENT",
        "authorized_official_telephone_number": "718-423-5100"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grace Nunez-Russotto, MD
• Jacqueline A Nunez
• David Paul Nupp, PT
• Anora Nuritdinova, PHARMD
• Nutriall Wellness Center LLC (Nutriall Wellness Center)
• Ny Premier Cardiology PC
• Ny Priority Medical Care PLLC
• Nyc Fly Wheels Inc.
• Nyeeqasc,LLC (North Queens Surgical Center)
• Erin Marie O'Byrne

• Durable Medical Equipment & Medical Supplies in Bayside, NY
• Providers in Bayside, NY by specialty
• Durable Medical Equipment & Medical Supplies in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 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.

Verify at the official NPI Registry.