Individual provider Active NPI

Jonathan Punzone, P.T., D.P.T.

  • Physical Therapist
  • Massapequa, NY
National Provider Identifier
1609009950
Registry record updated Oct 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
031338 Issued in NY
Practice address
4200 Sunrise Hwy
Dr. Jeff Silber
Massapequa, NY 11758-5311
Phone
(516) 541-1064
Fax
(516) 798-9070
NPI assigned
Sep 2, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 031338 NY Primary

Addresses

Primary practice location

4200 Sunrise Hwy
Dr. Jeff Silber
Massapequa, NY 11758-5311

Mailing address

4200 Sunrise Hwy
Dr. Jeff Silber
Massapequa, NY 11758-5311
Phone (516) 541-1064

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091002000609 NY Practitioner - Physical Therapist in Private Practice 4486790508 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physical Therapy and Aquatics by the Sea, PLLCGroup PAC ID 8426090705, 2 clinicians

Practice addresses (Care Compare)

11 Neil CT
Oceanside, NY 11572-5815
Phone (516) 766-0505

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
031338NYMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Physical Therapy and Aquatics by the Sea, PLLC Physical Therapist CurrentSince Aug 1, 2024 Accepting new patients
New York Rehabilitative Services Past Accepting new patients

Locations

11 Neil Ct
Oceanside, NY 11572
Phone (516) 766-0505

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1251849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413331200000",
    "number": "1609009950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 SUNRISE HWY",
            "address_2": "DR. JEFF SILBER",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "117585311",
            "telephone_number": "516-541-1064",
            "fax_number": "516-798-9070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 SUNRISE HWY",
            "address_2": "DR. JEFF SILBER",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "117585311",
            "telephone_number": "516-541-1064",
            "fax_number": "516-798-9070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUNZONE",
        "first_name": "JONATHAN",
        "name_prefix": "Mr.",
        "credential": "P.T., D.P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-09-02",
        "last_updated": "2014-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "031338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Massapequa, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2014; 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.

Verify at the official NPI Registry.