Organization Active NPI

Hope Physical Medicine & Rehabilitation, PC

  • Physical Medicine & Rehabilitation Physician
  • Woodside, NY
National Provider Identifier
1467633040
Registry record updated Apr 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
60-061044 Issued in NY
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

Updated by the provider on Apr 1, 2011

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)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
02623398MedicaidNY
1467633040OtherNYNPI

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.