Roland Paqueo, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

022730 Issued in NY

Practice address

8960 56TH Ave
Elmhurst, NY 11373-4933

Phone

(718) 535-7288

Fax

(718) 770-7681

NPI assigned

Jan 29, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2014

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Networks

• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H3359

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.

• Ignite Rehab PT PC

  • Physical Therapist
  • Brooklyn, NY
  • NPI 1003263534
  Medicare reassignment NPD Authorized official
• Therapro Wellness Physical Therapy, PLLC

  • Physical Therapist
  • Jamaica, NY
  • NPI 1548825623
  NPD Authorized official
• Alliance Medical Office

  • Specialist
  • Brooklyn, NY
  • NPI 1679607865
  NPD (past)
• DHD Medical, P.C.

  • Specialist
  • Brooklyn, NY
  • NPI 1861686594
  NPD (past)

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642118400000",
    "number": "1548306335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9245 53RD AVE FL 2",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113734624",
            "telephone_number": "646-431-3097",
            "fax_number": "718-770-7681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8960 56TH AVE",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113734933",
            "telephone_number": "718-535-7288",
            "fax_number": "718-770-7681"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9245 53rd Ave",
            "address_purpose": "LOCATION",
            "city": "Elmhurst",
            "state": "NY",
            "postal_code": "113734624",
            "country_code": "US",
            "telephone_number": "718-606-2022",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2132 Ralph Ave",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112345406",
            "country_code": "US",
            "telephone_number": "718-763-1400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAQUEO",
        "first_name": "ROLAND",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-29",
        "last_updated": "2022-01-14",
        "certification_date": "2022-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "022730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ekta Pandit, PT
• Sikander Azeem Panezai, MD
• Shirley Pang, R.N.
• Carine Panier
• Ellie Pappas, LCSW
• Abigail Paracha
• Paradigm OB/GYN Services, PC
• Carlos Andres Paredes Ponce, MD
• Michel T Paredes
• Chohee Park, FNP

• Physical Therapist in Elmhurst, NY
• Providers in Elmhurst, 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 Jan 14, 2022; 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.