Organization Active NPI

Mario Salonga, PT

  • Physical Therapist
  • Far Rockaway, NY
National Provider Identifier
1518044700
Registry record updated Aug 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
011345 Issued in NY
Legal business name
MARIO SALONGA, PT
Practice address
228 Beach 20TH St
Far Rockaway, NY 11691-3618
Phone
(718) 471-6500
Fax
(718) 327-6542
NPI assigned
Nov 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2012

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

Authorized official

Name
Mr. Mario Castillo Salonga, PT
Title
PT
Phone
(718) 471-6500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 011345 NY Primary

Addresses

Primary practice location

228 Beach 20TH St
Far Rockaway, NY 11691-3618

Mailing address

228 Beach 20TH St
Far Rockaway, NY 11691-3618
Phone (718) 471-6500

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344902400000",
    "number": "1518044700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "228 BEACH 20TH ST",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "116913618",
            "telephone_number": "718-471-6500",
            "fax_number": "718-327-6542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "228 BEACH 20TH ST",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "116913618",
            "telephone_number": "718-471-6500",
            "fax_number": "718-327-6542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIO SALONGA, PT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2012-08-14",
        "status": "A",
        "authorized_official_last_name": "SALONGA",
        "authorized_official_first_name": "MARIO",
        "authorized_official_middle_name": "CASTILLO",
        "authorized_official_title_or_position": "PT",
        "authorized_official_telephone_number": "718-471-6500",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "011345",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Far Rockaway, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2012; 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.