Lake Success Physical Therapy P.C.

Primary specialty

Clinical Electrophysiology Physical TherapistTaxonomy code 2251E1300X

Legal business name

LAKE SUCCESS PHYSICAL THERAPY P.C.

Practice address

1999 Marcus Ave Ste M15
New Hyde Park, NY 11042-1023

Phone

(516) 488-8808

Fax

(516) 488-8818

NPI assigned

Feb 5, 2019

Organization subpart

No

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

Authorized official

Name

Mrs. Michelle Dragan

Title

Business Manager

Phone

(516) 488-8808

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John J Dragan, P.T., GCS

  • Physical Therapist
  • Lake Success, NY
  • NPI 1699729590
  Medicare reassignment NPD
• Mark Alan Herbrich, P.T., M.A.

  • Physical Therapist
  • Lake Success, NY
  • NPI 1619922952
  Medicare reassignment NPD
• Faizal Hussein, DR.

  • Physical Therapist
  • Queens, NY
  • NPI 1700492303
  Medicare reassignment NPD

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

{
    "created_epoch": "1549324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549324800000",
    "number": "1336604222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1999 MARCUS AVE STE M15",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110421023",
            "telephone_number": "516-488-8808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1999 MARCUS AVE STE M15",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110421023",
            "telephone_number": "516-488-8808",
            "fax_number": "516-488-8818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE SUCCESS PHYSICAL THERAPY P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-05",
        "last_updated": "2019-02-05",
        "status": "A",
        "authorized_official_last_name": "DRAGAN",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "516-488-8808",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "2251E1300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Electrophysiology, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lake Success Health Medical Wellness PC
• Lake Success Medical Associates
• Lake Success Neurological Surgery PC
• Lake Success Ophthalmic Associates PC
• Lake Success Periodontics and Implants P.C.
• Lake Success RX Corp
• Lake Success Women'S Medical Care
• Lakeville Ambulette Transportation LLC
• Lakeville Chiropractic, PC
• Lakeville Comprehensive Medical Injury Care P.L.L.C

• Clinical Electrophysiology Physical Therapist in New Hyde Park, NY
• Providers in New Hyde Park, NY by specialty
• Clinical Electrophysiology Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2019; 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.