Harjianne Dei Fundal

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

10814 72ND Ave
Forest Hills, NY 11375-7081

Phone

(718) 520-8480

Fax

(718) 261-7886

NPI assigned

May 21, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Physical Therapy and Chiropractic PLLCGroup PAC ID 6901028976, 2 clinicians

In Touch Nyc Physical Therapy PCGroup PAC ID 4183881196, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• In Touch Nyc Physical Therapy PC

  • Physical Therapist
  • New York, NY
  • NPI 1487951661
  Medicare reassignment Care Compare group NPD
• Physical Therapy and Chiropractic PLLC

  • Physical Therapist
  • Forest Hills, NY
  • NPI 1144622515
  Medicare reassignment Care Compare group NPD
• Ny Physical Medicine

  • Family Medicine Physician
  • Forest Hills, NY
  • NPI 1437399581
  NPD (past)
• Robert Rothstein, MD PC

  • Ophthalmology Physician
  • Forest Hills, NY
  • NPI 1689869786
  NPD (past)

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

{
    "created_epoch": "1621555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621555200000",
    "number": "1346815537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5111 92ND ST",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113734048",
            "telephone_number": "862-283-7269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10814 72ND AVE",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113757081",
            "telephone_number": "718-520-8480",
            "fax_number": "718-261-7886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUNDAL",
        "first_name": "HARJIANNE DEI",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-05-21",
        "last_updated": "2021-05-21",
        "certification_date": "2021-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cary Frumess, LCSW
• Xu Dong Fu, L. AC.
• Marie Angeli Fuentes, PA-C
• Vivian Fulton, PT
• Fund America Management
• Andrew Fundo, D.M.D.
• Livia Futterman, PA-C
• Future Care Registered Professional Nursing PLLC
• Frida Fuzailov
• Istam Mazal Fuzailov

• Physical Therapist in Forest Hills, NY
• Providers in Forest Hills, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2021; 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.