Roshan Dominic

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

030270 Issued in NY

Practice address

2923 Lexington Ave
Mohegan Lake, NY 10547-1836

Phone

(516) 606-2845

NPI assigned

Oct 24, 2019

Last updated

Oct 2, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Visiting PT OT Services PLLCGroup PAC ID 1153721899, 22 clinicians

Practice addresses (Care Compare)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Visiting PT OT Services PLLC

  • Physical Therapist
  • Valley Stream, NY
  • NPI 1285232082
  Medicare reassignment Care Compare group NPD
• Resilient Physical Therapy PLLC

  • Physical Therapist
  • Yorktown Heights, NY
  • NPI 1366049397
  Authorized official Same address or phone
• MDS Home Healthcare, Inc.

  • Home Health Agency
  • Chandler, AZ
  • NPI 1356807754

  Physical Therapist

  NPD
• Patriot Family Medical Associates PLLC

  • Family Medicine Physician
  • Valley Stream, NY
  • NPI 1811031776
  NPD (past)

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

{
    "created_epoch": "1571875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601596800000",
    "number": "1386287134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3251 N DEERFIELD AVE",
            "city": "YORKTOWN HEIGHTS",
            "state": "NY",
            "postal_code": "105981909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2923 LEXINGTON AVE",
            "city": "MOHEGAN LAKE",
            "state": "NY",
            "postal_code": "105471836",
            "telephone_number": "516-606-2845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOMINIC",
        "first_name": "ROSHAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-10-24",
        "last_updated": "2020-10-02",
        "certification_date": "2020-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "030270",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hossien Dahdouli, APN
• Ryan Dalton, PT, DPT
• Jennifer R. Dejesus
• Helen Delvecchio, LPN
• Crisel Divinagracia
• Rachel Donchek
• Tyler Edwards
• Jessica L Eiler
• Eye Care Optical Inc
• Erin Farrell, MS, SLP

• Physical Therapist in Mohegan Lake, NY
• Providers in Mohegan Lake, 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 Oct 2, 2020; 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.