Individual provider Active NPI

Noemi Algodon, PT

  • Physical Therapist
  • Flushing, NY
National Provider Identifier
1679803340
Registry record updated May 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
027477 Issued in NY
Practice address
13203 Sanford Ave Ste 1C
Premium Medical Care
Flushing, NY 11355-4310
Phone
(718) 961-8881
Fax
(718) 961-4333
NPI assigned
Jan 1, 2010
Last updated
May 24, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2012

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 027477 NY Primary

Addresses

Primary practice location

13203 Sanford Ave Ste 1C
Premium Medical Care
Flushing, NY 11355-4310

Mailing address

441 Argyle Rd
Mineola, NY 11501-1015
Phone (516) 385-6045

Other identifiers 2

IdentifierTypeStateIssuer
G400050338OtherNYMEDICARE
03198616MedicaidNY

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)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
027477NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
NBT Physical Therapy, P.C. Physical Therapist Current Accepting new patients
Premium Medical Care, P.C. CurrentSince Jul 1, 2011 Accepting new patients
Premium Medical Care, PC Past Accepting new patients
Dr Fu Rehabilitation Medical PC Past Accepting new patients
New Welling Physical Therapy and Acupuncture PLLC Past Accepting new patients
Excelife Physical Therapy P.C. Physical Therapist Past Accepting new patients

Locations

13203 Sanford Ave
Ste 1C
Flushing, NY 11355
Phone (718) 961-8881

13633 37th Ave
#1
Flushing, NY 11354
Phone (718) 961-9800

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1262304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337817600000",
    "number": "1679803340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "441 ARGYLE RD",
            "city": "MINEOLA",
            "state": "NY",
            "postal_code": "115011015",
            "telephone_number": "516-385-6045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13203 SANFORD AVE STE 1C",
            "address_2": "PREMIUM MEDICAL CARE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113554310",
            "telephone_number": "718-961-8881",
            "fax_number": "718-961-4333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALGODON",
        "first_name": "NOEMI",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-01",
        "last_updated": "2012-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "027477",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "G400050338",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03198616",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2012; 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.