Physical Medicine & Diagnostic Testing PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

251765 Issued in NY

Legal business name

PHYSICAL MEDICINE & DIAGNOSTIC TESTING PC

Practice address

54 Dolson Ave
Middletown, NY 10940-6424

Phone

(845) 342-1247

Fax

(845) 342-1397

NPI assigned

Oct 24, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Clifton Daniel Burt, MD

Title

Owner

Phone

(845) 342-0746

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

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

• Joy M. Hamilton, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Newark, NJ
  • NPI 1164445938
  NPD (past)

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

{
    "created_epoch": "1319414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319414400000",
    "number": "1598041428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 473",
            "city": "NEW HAMPTON",
            "state": "NY",
            "postal_code": "109580473",
            "telephone_number": "845-342-0746",
            "fax_number": "845-342-1397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 DOLSON AVE",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109406424",
            "telephone_number": "845-342-1247",
            "fax_number": "845-342-1397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICAL MEDICINE & DIAGNOSTIC TESTING PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-24",
        "last_updated": "2011-10-24",
        "status": "A",
        "authorized_official_last_name": "BURT",
        "authorized_official_first_name": "CLIFTON",
        "authorized_official_middle_name": "DANIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "845-342-0746",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "251765",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1588843163",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORKERS COMPENSATION NUMBER",
            "identifier": "2517654W",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tien Hoang Pham, MD
• Breanne Marie Phillips, PA-C
• Cara G Phillips, PA
• Jezzreel Fabillar Phillips, FNP-BC
• Jai Phillis
• Physical Therapy & Chiropractic of Middletown, PLLC
• Physical Therapy Wellness, PLLC
• Sabai Phyu, MD
• Tyrie Pickett
• Michael Joseph Piecuch, M.D.

• Specialist in Middletown, NY
• Providers in Middletown, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2011; 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.