Mabel Salcedo

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

026972-1 Issued in NY

Practice address

8611 107TH St
Richmond Hill, NY 11418-1605

Phone

(201) 899-1369

NPI assigned

Dec 13, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Core Physical Therapy Services PC

  • Physical Therapist
  • Brooklyn, NY
  • NPI 1184269755
  Medicare reassignment NPD

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

{
    "created_epoch": "1197504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478131200000",
    "number": "1376726232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8611 107TH ST",
            "city": "RICHMOND HILL",
            "state": "NY",
            "postal_code": "114181605",
            "telephone_number": "201-899-1369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8611 107TH ST",
            "city": "RICHMOND HILL",
            "state": "NY",
            "postal_code": "114181605",
            "telephone_number": "201-899-1369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALCEDO",
        "first_name": "MABEL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-12-13",
        "last_updated": "2016-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "026972-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH PROVIDER ID",
            "identifier": "13820718",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Isaac Sadykov
• Zubia Sagarwala, DO
• Sara Saghar Nia, MD
• Kaheerman Saibire, DO
• John Saith
• Joseph Portin Salva VIII, PT
• Michael Salzillo, NPP
• Samaritan Daytop Village
• Samaritan Daytop Village
• Samaritan Daytop Village, Inc.

• Physical Therapist in Richmond Hill, NY
• Providers in Richmond Hill, 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 Nov 3, 2016; 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.