Individual provider Active NPI

Paul Elghazaly, P.T.

  • Physical Therapist
  • S Ozone Park, NY
National Provider Identifier
1437261971
Registry record updated Aug 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
021421-1 Issued in NY
Practice address
135-08 Lefferts Blvd
S.Ozone Park, NY 11420
Phone
(718) 322-6290
NPI assigned
Aug 31, 2006
Last updated
Aug 20, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 021421-1 NY Primary

Addresses

Primary practice location

135-08 Lefferts Blvd
S.Ozone Park, NY 11420

Mailing address

1019 State Route 17M
Monroe, NY 10950-1643
Phone (845) 781-5890

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040920000177 NY Practitioner - Physical Therapist in Private Practice 2860460763 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pro Motion Physical Therapy,P.C.Group PAC ID 3870573835, 2 clinicians

Practice addresses (Care Compare)

12 HDSN Vly Prof PLZ
Newburgh, NY 12550-3101
Phone (845) 563-7800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Pro Motion Physical Therapy,P.C. Physical Therapist CurrentSince Oct 1, 2010 Accepting new patients
Queens Professional Medical Care,P.C. Past Accepting new patients
St. Marks Physical Therapy, P.C Physical Therapist Past Accepting new patients
Loring Medical PC PastSince Mar 14, 2012 Accepting new patients

Locations

1019 State Route 17M
Monroe, NY 10950
Phone (845) 781-5890

12 Hdsn Vly Prof Plz
Newburgh, NY 12550
Phone (516) 599-4475

12 Hdsn Vly Prof Plz
#1
Newburgh, NY 12550

13508 Lefferts Blvd
South Ozone Park, NY 11420
Phone (718) 322-6290

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Organizations & group practices 4

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": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187568000000",
    "number": "1437261971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1019 STATE ROUTE 17M",
            "city": "MONROE",
            "state": "NY",
            "postal_code": "109501643",
            "telephone_number": "845-781-5890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135-08 LEFFERTS BLVD",
            "city": "S.OZONE PARK",
            "state": "NY",
            "postal_code": "11420",
            "telephone_number": "718-322-6290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELGHAZALY",
        "first_name": "PAUL",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "021421-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in S Ozone Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 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.

Verify at the official NPI Registry.