Individual provider Active NPI

Damas Istrophe

  • Physical Therapist
  • New York, NY
National Provider Identifier
1609347020
Registry record updated Dec 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
043939-1 Issued in NY
Practice address
54 Murray St
New York, NY 10007-2219
Phone
(212) 453-4622
Fax
(212) 453-4621
NPI assigned
Dec 11, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2018

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 043939-1 NY Primary

Addresses

Primary practice location

54 Murray St
New York, NY 10007-2219

Mailing address

576 Broadhollow Rd
Melville, NY 11747-5002
Phone (631) 359-5859

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190102002367 NY Practitioner - Physical Therapist in Private Practice 0547505083 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

142 Prospect Park W
Brooklyn, NY 11215-4506
Phone (718) 230-1180

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
043939-1NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ivyrehab Physical Therapy, Occupational Therapy & Speech Language Path Physical Therapist CurrentSince Oct 10, 2023 Accepting new patients
Ivyrehab Physical Therapy, Occupational Therapy & Speech Language Pathology, PLLC CurrentSince Oct 10, 2023 Accepting new patients

Locations

142 Prospect Park W
Brooklyn, NY 11215
Phone (718) 230-1180

973 Fulton St
Brooklyn, NY 11238
Phone (718) 230-1180

539 Eastern Pkwy
Ste 2A
Brooklyn, NY 11216
Phone (929) 610-6088

25 Flatbush Ave
Ste 3
Brooklyn, NY 11217
Phone (718) 852-2584

1412 Cortelyou Rd
Brooklyn, NY 11226
Phone (347) 699-1011

490 Driggs Ave
Brooklyn, NY 11211
Phone (347) 329-4572

81 Court St
Brooklyn, NY 11201
Phone (323) 920-5333

550 Mamaroneck Ave
Ste 104
Harrison, NY 10528
Phone (914) 777-3737

1311 Mamaroneck Ave
Ste 140
White Plains, NY 10605
Phone (914) 265-4838

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": "1544486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544486400000",
    "number": "1609347020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "576 BROADHOLLOW RD",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117475002",
            "telephone_number": "631-359-5859",
            "fax_number": "631-396-0865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 MURRAY ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100072219",
            "telephone_number": "212-453-4622",
            "fax_number": "212-453-4621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISTROPHE",
        "first_name": "DAMAS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-12-11",
        "last_updated": "2018-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "043939-1",
            "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 Dec 11, 2018; 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.