Organization Active NPI

Cy DO

  • Physical Medicine & Rehabilitation Physician
  • Long Beach, NY
National Provider Identifier
1568004471
Registry record updated Feb 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
CY DO
Practice address
640 W Broadway
Long Beach, NY 11561-2900
Phone
(347) 962-5207
NPI assigned
Oct 11, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2022

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

Authorized official

Name
Christian John Youssef, DONPI 1609138700
Title
Owner
Phone
(347) 962-5207

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X Primary

Addresses

Primary practice location

640 W Broadway
Long Beach, NY 11561-2900

Mailing address

75A Lake Rd Ste 155
Congers, NY 10920-2323
Phone (845) 589-0800

Other practice location 1

2914 Lincoln Ave
Oceanside, NY 11572-2141
Phone (347) 962-5207

National Provider Directory

National Provider Directory

Locations

75 Lake Rd
Ste 155
Congers, NY 10920

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1570752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644451200000",
    "number": "1568004471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75A LAKE RD STE 155",
            "city": "CONGERS",
            "state": "NY",
            "postal_code": "109202323",
            "telephone_number": "845-589-0800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 W BROADWAY",
            "city": "LONG BEACH",
            "state": "NY",
            "postal_code": "115612900",
            "telephone_number": "347-962-5207"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2914 Lincoln Ave",
            "address_purpose": "LOCATION",
            "city": "Oceanside",
            "state": "NY",
            "postal_code": "115722141",
            "country_code": "US",
            "telephone_number": "347-962-5207",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CY DO",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-11",
        "last_updated": "2022-02-10",
        "certification_date": "2022-02-10",
        "status": "A",
        "authorized_official_last_name": "YOUSSEF",
        "authorized_official_first_name": "CHRISTIAN",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "347-962-5207",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2022; 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.