Active NPI
Randee Carreon Masangya, PT
- Physical Therapist
- New York, NY
National Provider Identifier
1356487953
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 019737-1
- Practice address
- 330 W 34TH St
15TH FL.
New York, NY 10001-2406 - Phone
- (212) 947-5770
- NPI assigned
- Jan 30, 2007
- 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 | 019737-1 | NY | Primary |
Addresses
Primary practice location
330 W 34TH St
15TH FL.
New York, NY 10001-2406
Mailing address
126 Cody PL
Staten Island, NY 10312-1690
Phone (718) 984-8572
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
3663 Route 9 N
Old Bridge, NJ 08857-3518
Phone (732) 970-1444
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 019737-1 | NY | MD | Physical Therapist |
| 019737 | NY | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Body Rehab Center, P.C. | Physical Therapist | Current | Accepting new patients |
Locations
3663 US Highway 9
Ste 101
Old Bridge, NJ 08857
Phone (732) 591-5858
Organizations & group practices 1
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.
-
- Orthopedic Physical Therapist
- Old Bridge, NJ
- NPI 1164628061
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1356487953",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "126 CODY PL",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103121690",
"telephone_number": "718-984-8572"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "330 W 34TH ST",
"address_2": "15TH FL.",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100012406",
"telephone_number": "212-947-5770"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MASANGYA",
"first_name": "RANDEE",
"middle_name": "CARREON",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "019737-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, 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.