Organization Active NPI

Alexander Dolsky PTPC

  • Physical Therapist
  • Forest Hills, NY
National Provider Identifier
1568472470
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
09321 Issued in NY
Legal business name
ALEXANDER DOLSKY PTPC
Practice address
11045 Queens Blvd
Suite 105
Forest Hills, NY 11375
Phone
(718) 575-5100
Fax
(718) 575-0609
NPI assigned
Aug 9, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Alexander E Dolsey, PT
Title
President
Phone
(718) 575-5100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 09321 NY Primary

Addresses

Primary practice location

11045 Queens Blvd
Suite 105
Forest Hills, NY 11375

Mailing address

11045 Queens Blvd
Suite 105
Forest Hills, NY 11375
Phone (718) 575-5100

Other identifiers 1

IdentifierTypeStateIssuer
01751968MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120109000069 NY Part B Supplier - Clinic/Group Practice 9638345978 Receives reassigned benefits from 6 practitioners
Practice locations: Forest Hills, NY; Jackson Heights, NY

National Provider Directory

National Provider Directory

Locations

11045 Queens Blvd
Ste 105
Forest Hills, NY 11375
Phone (718) 294-5000

9033 Elmhurst Ave
Jackson Hts, NY 11372
Phone (718) 457-7000

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1568472470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11045 QUEENS BLVD",
            "address_2": "SUITE 105",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "11375",
            "telephone_number": "718-575-5100",
            "fax_number": "718-575-0609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11045 QUEENS BLVD",
            "address_2": "SUITE 105",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "11375",
            "telephone_number": "718-575-5100",
            "fax_number": "718-575-0609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALEXANDER DOLSKY PTPC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DOLSEY",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-575-5100",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "09321",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01751968",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Hills, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.