Generation Nextwave

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

018199-1 Issued in NY

Legal business name

GENERATION NEXTWAVE

Practice address

41 Church Rd
Great River, NY 11739-3023

Phone

(631) 921-1277

Fax

(631) 277-0944

NPI assigned

Mar 8, 2012

Organization subpart

No

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

Authorized official

Name

Karen L. ConzoNPI 1689608234

Title

Physical Therapist

Phone

(631) 921-1277

Specialties & licenses 1

Addresses

Practitioners 1

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

• Karen Lincoln Conzo, MSPT

  • Physical Therapist
  • Great River, NY
  • NPI 1689608234
  NPD (past) Authorized official

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

{
    "created_epoch": "1331164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331164800000",
    "number": "1578837563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 799",
            "city": "GREAT RIVER",
            "state": "NY",
            "postal_code": "117390799",
            "telephone_number": "631-921-1277",
            "fax_number": "631-277-0944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 CHURCH RD",
            "city": "GREAT RIVER",
            "state": "NY",
            "postal_code": "117393023",
            "telephone_number": "631-921-1277",
            "fax_number": "631-277-0944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENERATION NEXTWAVE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-08",
        "last_updated": "2012-03-08",
        "status": "A",
        "authorized_official_last_name": "CONZO",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "631-921-1277"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "018199-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancy Dattero
• Allison Kay Delmar, DPT
• Denise Ferremi
• Cynthia Friedman, M.D., PH.D., M.P.H.
• Pauline A Fung
• Laura Elizabeth Getman-Vaca, MA:CCC:SLP
• Sara Klucsarits, M.A., CCC-SLP, TSSLD
• Lizia K Kye, PA-C
• Dawn E Lewis
• Aleah Patrica Marks, M.D.

• Physical Therapist in Great River, NY
• Providers in Great River, 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 Mar 8, 2012; 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.