Active NPI
Samuel David Slepian
- Physical Therapy Clinic/Center
- Far Rockaway, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- License
- 049642
- Practice address
- 710 Lanett Ave Apt B
Far Rockaway, NY 11691-5514 - Phone
- (908) 764-6679
- NPI assigned
- Jan 30, 2023
- Last updated
- Jan 30, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | 049642 | NY | Primary |
Addresses
Primary practice location
710 Lanett Ave Apt B
Far Rockaway, NY 11691-5514
Mailing address
710 Lanett Ave Apt B
Far Rockaway, NY 11691-5514
Phone (908) 764-6679
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2072 Ocean Ave
Apt 101
Brooklyn, NY 11230-7384
Phone (718) 616-1450
425 Kingston Ave
Brooklyn, NY 11225-3127
Phone (718) 616-1450
945 Broadway
Woodmere, NY 11598-1733
Phone (516) 374-5310
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 049642 | NY | MD | Physical Therapy Clinic/Center |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Engage PT OT Performance PLLC | Physical Therapy | Current | Accepting new patients |
| Rehabilitation Associates PT and OT, PLLC | Physical Therapy | Current | Accepting new patients |
| Bienetre Medical PC | Physical Therapy | Current | Accepting new patients |
| CH Rehabilitation Associates PT & OT PLLC | Current | Accepting new patients | |
| Advantage PT Health Consulting PC | Physical Therapy | Current | Accepting new patients |
Locations
425 Kingston Ave
Brooklyn, NY 11225
Phone (718) 616-1450
99 Hudson St
Fl 5
New York, NY 10013
Phone (646) 301-2578
945 Broadway
Woodmere, NY 11598
Phone (516) 374-5310
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapist
- Brooklyn, NY
- NPI 1588296206
-
dba Advantage Therapy Solutions
- Physical Therapist
- Woodmere, NY
- NPI 1114716529
Physical Therapy
-
- Physical Therapist
- Brooklyn, NY
- NPI 1497034748
Physical Therapy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1675036800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675036800000",
"number": "1669188934",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "710 LANETT AVE APT B",
"city": "FAR ROCKAWAY",
"state": "NY",
"postal_code": "116915514",
"telephone_number": "908-764-6679"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "710 LANETT AVE APT B",
"city": "FAR ROCKAWAY",
"state": "NY",
"postal_code": "116915514",
"telephone_number": "908-764-6679"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SLEPIAN",
"first_name": "SAMUEL",
"middle_name": "DAVID",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-01-30",
"last_updated": "2023-01-30",
"certification_date": "2023-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": "NY",
"license": "049642",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Far Rockaway, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2023; 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.