Individual provider Active NPI

Eliav Dinewitz, D.P.T.

  • Physical Therapist
  • Brooklyn, NY
National Provider Identifier
1417128836
Registry record updated Sep 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
9413 Flatlands Ave Ste 1W
Brooklyn, NY 11236
Phone
(718) 257-7010
Fax
(718) 257-7137
NPI assigned
Mar 13, 2008
Last updated
Sep 5, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary
Specialist 174400000X 030172 NY

Addresses

Primary practice location

9413 Flatlands Ave Ste 1W
Brooklyn, NY 11236

Mailing address

9413 Flatlands Ave Ste 1W
Brooklyn, NY 11236-3713
Phone (718) 257-7010

Other identifiers 1

IdentifierTypeStateIssuer
3068086MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080627000193 NY Practitioner - Physical Therapist in Private Practice 9436221926 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2005
Medicare assignment
May accept Medicare assignment
Group practices
Montefiore Medical CenterGroup PAC ID 3779496021, 2,809 clinicians

Practice addresses (Care Compare)

14 Orangetown Shopping Ctr
Orangeburg, NY 10962-2143
Phone (845) 580-4100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
030172NYMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
B Stern Physical Therapy P.C. Physical Therapist CurrentSince Jan 8, 2020 Accepting new patients
Greenstein and Stern Physical Therapy, PLLC Physical Therapist CurrentSince Aug 1, 2020 Accepting new patients
South Orange Chiropractic Center PastSince Jun 2, 2014 Accepting new patients
Sports Physical Therapy of New York, P.C. Physical Therapist PastSince Dec 11, 2013 Accepting new patients

Locations

23 Robert Pitt Dr
Ste 110
Monsey, NY 10952

2902 Upper Tibbits Ave
Troy, NY 12180
Phone (518) 273-2040

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1205366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536105600000",
    "number": "1417128836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9413 FLATLANDS AVE STE 1W",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112363713",
            "telephone_number": "718-257-7010",
            "fax_number": "718-257-7137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9413 FLATLANDS AVE STE 1W",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11236",
            "telephone_number": "718-257-7010",
            "fax_number": "718-257-7137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DINEWITZ",
        "first_name": "ELIAV",
        "credential": "D.P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-03-13",
        "last_updated": "2018-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "030172",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3068086",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2018; 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.