Rico M Jandongan, PHYSICAL THERAPIST

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

019513 Issued in NY

Practice address

14008 Sanford Ave
Flushing, NY 11355-2683

Phone

(718) 445-3888

Fax

(516) 665-0001

NPI assigned

Aug 20, 2020

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• RMJ PT PC

  • Physical Therapist
  • Staten Island, NY
  • NPI 1487448023

  Single Specialty

  NPD Authorized official

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

{
    "created_epoch": "1597881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597881600000",
    "number": "1558973529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 CHARLTON AVE",
            "city": "HASBROUCK HEIGHTS",
            "state": "NJ",
            "postal_code": "076042306",
            "telephone_number": "201-724-7441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14008 SANFORD AVE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113552683",
            "telephone_number": "718-445-3888",
            "fax_number": "516-665-0001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANDONGAN",
        "first_name": "RICO",
        "middle_name": "M",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-08-20",
        "last_updated": "2020-08-20",
        "certification_date": "2020-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "019513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Jakubowicz
• James Fang DDS PLLC
• James Sul MD PC
• Jeremy Allan James
• Shibrah M. Jamil, MD
• Jane Pratt-Grippi D.P.M.,P.C.
• Alice Sungju Jang
• Doo Hee Jang
• Hangjun Jang, M.D., PH.D.
• Hayoung Jang, L.AC

• Physical Medicine & Rehabilitation Physician in Flushing, NY
• Providers in Flushing, NY by specialty
• Physical Medicine & Rehabilitation Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2020; 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.