Individual provider Active NPI

Christian John Youssef, D.O.

  • Physical Medicine & Rehabilitation Physician
  • White Plains, NY
National Provider Identifier
1609138700
Registry record updated Feb 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
290581-1 Issued in NY
Practice address
4 Martine Ave
White Plains, NY 10606-4016
Phone
(347) 962-5207
NPI assigned
Jun 13, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 19, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 290581-1 NY Primary

Addresses

Primary practice location

4 Martine Ave
White Plains, NY 10606-4016

Mailing address

75A Lake Rd Ste 155
Congers, NY 10920-2323
Phone (845) 589-0800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170822001688 NY Practitioner - Physical Medicine and Rehabilitation 3476825787 Reassigns benefits to 1 organization
Practice locations: Forest Hills, NY; Oceanside, NY

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
290581-1NYMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cy DO Physical Medicine & Rehabilitation CurrentSince Oct 1, 2019 Accepting new patients
Cornerstone Medical PC Physical Medicine & Rehabilitation CurrentSince Apr 18, 2024 Accepting new patients
Christian John Inc Physical Medicine & Rehabilitation Past Accepting new patients

Locations

75 Lake Rd
Ste 155
Congers, NY 10920

1711 Brookhaven Ave
Far Rockaway, NY 11691
Phone (718) 852-7000

100 Southern Blvd
Nesconset, NY 11767
Phone (631) 361-8100

2914 Lincoln Ave
Oceanside, NY 11572
Phone (516) 317-1681

265 Sunrise Hwy
Ste 1815
Rockville Ctr, NY 11570

Organizations & group practices 3

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": "1339545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550534400000",
    "number": "1609138700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75A LAKE RD STE 155",
            "city": "CONGERS",
            "state": "NY",
            "postal_code": "109202323",
            "telephone_number": "845-589-0800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 MARTINE AVE",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106064016",
            "telephone_number": "347-962-5207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUSSEF",
        "first_name": "CHRISTIAN",
        "middle_name": "JOHN",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-06-13",
        "last_updated": "2019-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "290581-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in White Plains, NY

Sources for this page

Verify at the official NPI Registry.