Individual provider Active NPI

Paul Gasataya, PT

  • Physical Therapist
  • Merrick, NY
National Provider Identifier
1689187015
Registry record updated Nov 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
039666 Issued in NY
Practice address
2071 Merrick Rd
Merrick, NY 11566-4749
Phone
(516) 868-7746
Fax
(516) 977-3002
NPI assigned
Nov 7, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 7, 2017

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 039666 NY Primary

Addresses

Primary practice location

2071 Merrick Rd
Merrick, NY 11566-4749

Mailing address

2071 Merrick Rd
Merrick, NY 11566-4749
Phone (516) 868-7746

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

State licenses

LicenseStateTypeSpecialty
039666NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Rehab Synergy PT, PC. Physical Therapist PastSince Jan 1, 2016 Accepting new patients
Lakeview Chiropractic, P.C. PastSince Dec 2, 2015 Accepting new patients

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": "1510012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510012800000",
    "number": "1689187015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2071 MERRICK RD",
            "city": "MERRICK",
            "state": "NY",
            "postal_code": "115664749",
            "telephone_number": "516-868-7746",
            "fax_number": "516-977-3002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2071 MERRICK RD",
            "city": "MERRICK",
            "state": "NY",
            "postal_code": "115664749",
            "telephone_number": "516-868-7746",
            "fax_number": "516-977-3002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GASATAYA",
        "first_name": "PAUL",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-11-07",
        "last_updated": "2017-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "039666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Merrick, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2017; 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.