Active NPI
James A Nussbaum, PHD, MSPT, CSCS, EMT
- Physical Therapist
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 020992
- Practice address
- 180 W End Ave
Suite # 1M
New York, NY 10023-4902 - Phone
- (212) 600-4781
- Fax
- (800) 655-3780
- NPI assigned
- Jul 17, 2006
- Sex
- Male
- 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 Therapist | 225100000X | 020992 | NY | Primary |
Addresses
Primary practice location
180 W End Ave
Suite # 1M
New York, NY 10023-4902
Mailing address
180 W End Ave
Suite # 1M
New York, NY 10023-4902
Phone (212) 600-4781
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
180 W End Ave
Apt 1M
New York, NY 10023-4917
Phone (212) 600-4781
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Emergency Medical Technician, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 020992 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prohealth and Fitness PT OT PLLC | Physical Therapist | Current | Accepting new patients |
| Prohealth and Fitness PT OT PLLC | Physical Therapist | Current | Accepting new patients |
| Emusc, LLC | Current | Accepting new patients | |
| Prohealth & Fitness | Past | Accepting new patients |
Locations
8340 Woodhaven Blvd
Glendale, NY 11385
Phone (718) 441-0101
12046 Queens Blvd
Kew Gardens, NY 11415
Phone (718) 793-3341
150 W End Ave
Apt 1M
New York, NY 10023
Phone (212) 496-2600
1041 3rd Ave
Ofc 2
New York, NY 10065
Phone (212) 362-3470
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
Organizations & group practices 7
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1201737600000",
"number": "1588682686",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "180 W END AVE",
"address_2": "SUITE # 1M",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100234902",
"telephone_number": "212-600-4781",
"fax_number": "800-655-3780"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "180 W END AVE",
"address_2": "SUITE # 1M",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100234902",
"telephone_number": "212-600-4781",
"fax_number": "800-655-3780"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NUSSBAUM",
"first_name": "JAMES",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "PHD, MSPT, CSCS, EMT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-17",
"last_updated": "2008-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "020992",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.