Individual provider Active NPI

George Ian Yu Namoc, P.T.

  • Neurology Physical Therapist
  • New York, NY
National Provider Identifier
1659690402
Registry record updated Oct 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology Physical TherapistTaxonomy code 2251N0400X
License
032209 Issued in NY
Practice address
152 Madison Ave
Suite 1700
New York, NY 10016-5424
Phone
(212) 889-6540
Fax
(212) 889-4987
NPI assigned
May 19, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 9, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physical Therapist 2251N0400X 032209 NY Primary

Addresses

Primary practice location

152 Madison Ave
Suite 1700
New York, NY 10016-5424

Mailing address

152 Madison Ave
Suite 1700
New York, NY 10016-5424
Phone (212) 889-6540

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Eastern Comprehensive Medical Services, P.C. PastSince Mar 12, 2012 Accepting new patients

Organizations & group practices 1

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": "1274227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1381276800000",
    "number": "1659690402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "152 MADISON AVE",
            "address_2": "SUITE 1700",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100165424",
            "telephone_number": "212-889-6540",
            "fax_number": "212-889-4987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "152 MADISON AVE",
            "address_2": "SUITE 1700",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100165424",
            "telephone_number": "212-889-6540",
            "fax_number": "212-889-4987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAMOC",
        "first_name": "GEORGE",
        "middle_name": "IAN YU",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-05-19",
        "last_updated": "2013-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251N0400X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Neurology",
            "state": "NY",
            "license": "032209",
            "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 Oct 9, 2013; 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.