Active NPI
Hope Physical Medicine & Rehabilitation, PC
- Physical Medicine & Rehabilitation Physician
- Woodside, NY
National Provider Identifier
1467633040
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 60-061044
- Legal business name
- HOPE PHYSICAL MEDICINE & REHABILITATION, PC
- Practice address
- 5123 Queens Blvd
Woodside, NY 11377-4587 - Phone
- (718) 458-5333
- Fax
- (718) 458-5335
- NPI assigned
- Nov 24, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Dante Acebo Cubangbang, M.D.
- Title
- President
- Phone
- (516) 270-2755
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 60-061044 | NY | Primary |
Addresses
Primary practice location
5123 Queens Blvd
Woodside, NY 11377-4587
Mailing address
894 Oaks Dr
Franklin Square, NY 11010-1936
Phone (516) 270-2755
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02623398 | Medicaid | NY | |
| 1467633040 | Other | NY | NPI |
National Provider Directory
National Provider DirectoryLocations
835 61st St
#2
Brooklyn, NY 11220
Phone (718) 854-8869
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1195862400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1301616000000",
"number": "1467633040",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "894 OAKS DR",
"city": "FRANKLIN SQUARE",
"state": "NY",
"postal_code": "110101936",
"telephone_number": "516-270-2755",
"fax_number": "516-270-2755"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5123 QUEENS BLVD",
"city": "WOODSIDE",
"state": "NY",
"postal_code": "113774587",
"telephone_number": "718-458-5333",
"fax_number": "718-458-5335"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOPE PHYSICAL MEDICINE & REHABILITATION, PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-11-24",
"last_updated": "2011-04-01",
"status": "A",
"authorized_official_last_name": "CUBANGBANG",
"authorized_official_first_name": "DANTE",
"authorized_official_middle_name": "ACEBO",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "516-270-2755",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation",
"state": "NY",
"license": "60-061044",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02623398",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1467633040",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Woodside, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.