Eleazar Viloria Incabo, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

020160 Issued in NY

Practice address

11 Medical Park Dr
Suite 104
Pomona, NY 10970-3559

Phone

(845) 354-6700

NPI assigned

Mar 5, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

B Stern Physical Therapy P.C.Group PAC ID 1557428265, 6 clinicians

Stern PT PCGroup PAC ID 5698121994, 5 clinicians

Physical Medicine and Rehabilitation Center PAGroup PAC ID 1658273750, 26 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• B Stern Physical Therapy P.C.

  • Physical Therapist
  • Monsey, NY
  • NPI 1588814966
  Medicare reassignment Care Compare group NPD
• Stern PT PC

  • Physical Therapist
  • Monsey, NY
  • NPI 1124806161
  Medicare reassignment Care Compare group NPD
• Physical Medicine and Rehabilitation Center PA

  • Rehabilitation Practitioner
  • Englewood, NJ
  • NPI 1831110469

  NY, Physical Therapist

  Medicare reassignment Care Compare group NPD
• Pomona Pain Management

  • Physical Medicine & Rehabilitation Physician
  • Pomona, NY
  • NPI 1750332128
  NPD (past)

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

{
    "created_epoch": "1141516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371513600000",
    "number": "1477520765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "00146 TUNBRIDGE RD",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074105404",
            "telephone_number": "201-475-5606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 MEDICAL PARK DR",
            "address_2": "SUITE 104",
            "city": "POMONA",
            "state": "NY",
            "postal_code": "109703559",
            "telephone_number": "845-354-6700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INCABO",
        "first_name": "ELEAZAR",
        "middle_name": "VILORIA",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-05",
        "last_updated": "2013-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "020160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Etta Huisman
• Jack Joseph Iannucci, DPT
• Yael Ibragimov, OTR/L
• Igor Elman Physician PC
• Joshua D. Ilan
• Integrative Healing of NJ LLC
• Iris Epstein & Associates LLC
• Joseph Irkowski, RN
• Island Reproductive Services
• Carla Iudica-Souza, MD

• Physical Therapist in Pomona, NY
• Providers in Pomona, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2013; 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.