Individual provider Active NPI

Hyunjin Roh

  • Physical Therapist
  • Middle Village, NY
National Provider Identifier
1528437209
Registry record updated Aug 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
035527 Issued in NY
Practice address
7945 Metropolitan Ave
Middle Village, NY 11379-2938
Phone
(646) 683-8255
Fax
(888) 977-5374
NPI assigned
Sep 23, 2015
Last updated
Aug 28, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 28, 2019

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 035527 NY Primary
Physical Therapist 225100000X 40QA01869000 NJ
Physical Therapist 225100000X 296808 CA
Physical Therapist 225100000X PT026977 PA

Addresses

Primary practice location

7945 Metropolitan Ave
Middle Village, NY 11379-2938

Mailing address

5725 Van Horn St Apt 6C
Elmhurst, NY 11373-4878
Phone (646) 683-8255

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
296808CAMDPhysical Therapist
40QA01869000NJMDPhysical Therapist
PT026977PAMDPhysical Therapist
035527NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Roh Physical Therapy P.C. Physical Therapist Current Accepting new patients

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1442966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566950400000",
    "number": "1528437209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5725 VAN HORN ST APT 6C",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113734878",
            "telephone_number": "646-683-8255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7945 METROPOLITAN AVE",
            "city": "MIDDLE VILLAGE",
            "state": "NY",
            "postal_code": "113792938",
            "telephone_number": "646-683-8255",
            "fax_number": "888-977-5374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROH",
        "first_name": "HYUNJIN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-09-23",
        "last_updated": "2019-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "035527",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01869000",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "296808",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT026977",
            "primary": false
        }
    ],
    "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 Aug 28, 2019; 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.