Active NPI
Solomon Mayer, MSPT
- Physical Therapist
- Brooklyn, NY
National Provider Identifier
1467627786
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 023756-1
- Practice address
- 1250 40 Street
Brooklyn, NY 11218 - Phone
- (718) 633-5824
- Fax
- (718) 633-7061
- NPI assigned
- Apr 28, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | 023756-1 | NY | |
| Physical Therapist | 225100000X | 023756-1 | NY | Primary |
Addresses
Primary practice location
1250 40 Street
Brooklyn, NY 11218
Mailing address
1250 40 Street
Brooklyn, NY 11218
Phone (718) 633-5824
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041130000339 | NY | Practitioner - Physical Therapist in Private Practice | 8729043906 | Practice locations: Brooklyn, NY |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 023756-1 | NY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1209340800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1209340800000",
"number": "1467627786",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1250 40 STREET",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11218",
"telephone_number": "718-633-5824",
"fax_number": "718-633-7061"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1250 40 STREET",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11218",
"telephone_number": "718-633-5824",
"fax_number": "718-633-7061"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAYER",
"first_name": "SOLOMON",
"name_prefix": "Mr.",
"credential": "MSPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-04-28",
"last_updated": "2008-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "NY",
"license": "023756-1",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "023756-1",
"primary": true
}
],
"identifiers": [],
"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 Apr 28, 2008; 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.