Organization Active NPI

Advanced Medical Healthcare, P.C.

  • Rehabilitation Practitioner
  • Woodside, NY
National Provider Identifier
1659697407
Registry record updated Feb 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation PractitionerTaxonomy code 225400000X
Legal business name
ADVANCED MEDICAL HEALTHCARE, P.C.
Practice address
5123 Queens Blvd
Woodside, NY 11377-4587
Phone
(718) 458-5333
NPI assigned
Apr 18, 2010
Last updated
Feb 25, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2011

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

Authorized official

Name
Dr. Dante Acebo Cubangbang, M.D.
Title
President
Phone
(718) 458-5333

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 225400000X Primary

Addresses

Primary practice location

5123 Queens Blvd
Woodside, NY 11377-4587

Mailing address

14 Redwood Dr
Plainview, NY 11803-5215

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1271548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298592000000",
    "number": "1659697407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 REDWOOD DR",
            "city": "PLAINVIEW",
            "state": "NY",
            "postal_code": "118035215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5123 QUEENS BLVD",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "113774587",
            "telephone_number": "718-458-5333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED MEDICAL HEALTHCARE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-18",
        "last_updated": "2011-02-25",
        "status": "A",
        "authorized_official_last_name": "CUBANGBANG",
        "authorized_official_first_name": "DANTE",
        "authorized_official_middle_name": "ACEBO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-458-5333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Rehabilitation Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodside, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 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.