Active NPI
Jo Nonino Sarceno Banez, RPT
- Physical Therapist
- Middle Village, NY
National Provider Identifier
1497976674
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 016152-1
- Practice address
- 7904 Metropolitan Ave
Middle Village, NY 11379-2931 - Phone
- (718) 894-2323
- Fax
- (718) 894-5385
- NPI assigned
- May 2, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 016152-1 | NY | Primary |
Addresses
Primary practice location
7904 Metropolitan Ave
Middle Village, NY 11379-2931
Mailing address
7904 Metropolitan Ave
Middle Village, NY 11379-2931
Phone (718) 894-2323
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
7904 Metropolitan Ave
Middle Village, NY 11379-2931
Phone (718) 894-2323
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 016152-1 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Middle Village Chiropractic & Physical Therapy, PLLC | Physical Therapist | Current | Accepting new patients |
| Diaspo Chiropractic & Physical Therapy, PLLC | Physical Therapist | Current | Accepting new patients |
| Panagiotis Zenetos Physician, PC | Past | Accepting new patients |
Locations
7904 Metropolitan Ave
Middle Vlg, NY 11379
Phone (718) 894-2323
20817 Jamaica Ave
Queens Vlg, NY 11428
Phone (718) 465-4500
Organizations & group practices 3
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.
-
- Physical Therapist
- Queens Village, NY
- NPI 1487826004
-
- Physical Therapist
- Middle Village, NY
- NPI 1962674572
-
- Pain Medicine Physician
- Bayside, NY
- NPI 1245370154
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1206403200000",
"number": "1497976674",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7904 METROPOLITAN AVE",
"city": "MIDDLE VILLAGE",
"state": "NY",
"postal_code": "113792931",
"telephone_number": "718-894-2323",
"fax_number": "718-894-5385"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7904 METROPOLITAN AVE",
"city": "MIDDLE VILLAGE",
"state": "NY",
"postal_code": "113792931",
"telephone_number": "718-894-2323",
"fax_number": "718-894-5385"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BANEZ",
"first_name": "JO NONINO",
"middle_name": "SARCENO",
"name_prefix": "Mr.",
"credential": "RPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-02",
"last_updated": "2008-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "016152-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Middle Village, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2008; 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.