Active NPI
Seryl Mingoa, PTA
- Physical Therapy Assistant
- Bronx, NY
National Provider Identifier
1578945465
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 008280
- Practice address
- 729 Pelham Pkwy N
Bronx, NY 10467-9506 - Phone
- (718) 944-5050
- NPI assigned
- Jun 26, 2015
- Last updated
- Jun 26, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 008280 | NY | Primary |
Addresses
Primary practice location
729 Pelham Pkwy N
Bronx, NY 10467-9506
Mailing address
620 Reiss PL Apt 2E
Bronx, NY 10467-8049
Phone (347) 406-1188
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 008280 | NY | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1435276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1435276800000",
"number": "1578945465",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "620 REISS PL APT 2E",
"city": "BRONX",
"state": "NY",
"postal_code": "104678049",
"telephone_number": "347-406-1188"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "729 PELHAM PKWY N",
"city": "BRONX",
"state": "NY",
"postal_code": "104679506",
"telephone_number": "718-944-5050"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MINGOA",
"first_name": "SERYL",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-06-26",
"last_updated": "2015-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "NY",
"license": "008280",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.