Individual provider Active NPI

John J Dragan, P.T., GCS

  • Physical Therapist
  • Lake Success, NY
National Provider Identifier
1699729590
Registry record updated May 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
015842-1 Issued in NY
Practice address
1999 Marcus Ave
Suite M15
Lake Success, NY 11042-1013
Phone
(516) 488-8808
Fax
(516) 488-8818
NPI assigned
May 22, 2006
Last updated
May 30, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 015842-1 NY Primary
Geriatric Physical Therapist 2251G0304X 8191 NY

Addresses

Primary practice location

1999 Marcus Ave
Suite M15
Lake Success, NY 11042-1013

Mailing address

223 Ridge Rd
Douglaston, NY 11363-1308
Phone (516) 488-8808

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, PA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040825001611 NY Practitioner - Physical Therapist in Private Practice 8820062672 Reassigns benefits to 2 organizations
I20231013000141 PA Practitioner - Physical Therapist in Private Practice 8820062672 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1994
Medicare assignment
May accept Medicare assignment
Group practices

Practice addresses (Care Compare)

1999 Marcus Ave
Suite M15
New Hyde Park, NY 11042-1023
Phone (516) 492-3345

250 Cetronia Rd
Suite 303
Allentown, PA 18104-9168
Phone (610) 973-6200

Merit-based Incentive Payment System (MIPS)

Final score
85.37 of 100Reported as group
Quality
72.6
Promoting interoperability
100
Improvement activities
40
Cost
78.63

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
015842NYMDMental Health Counselor
8191NYMDClinical Psychologist
015842-1NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Lake Success Physical Therapy P.C. Physical Therapist CurrentSince Feb 1, 2019 Accepting new patients
Orthopaedic Associates of Allentown Physical Therapist CurrentSince May 1, 2024 Accepting new patients
Orthopaedic Associates of Allentown Physical Therapist Current Accepting new patients
Agewell Physical Therapy and Wellness, P.C. Physical Therapist CurrentSince May 13, 2004 Accepting new patients
Samuel Field Ym&Ywha Past Accepting new patients

Locations

6961 Grand Ave
Maspeth, NY 11378
Phone (516) 488-8808

1999 Marcus Ave
Ste M15
North New Hyde Park, NY 11042
Phone (516) 488-8808

250 Cetronia Rd
Allentown, PA 18104
Phone (610) 402-9090

250 Cetronia Rd
Ste 303
Allentown, PA 18104

4652 Broadway
Ste A
Allentown, PA 18104
Phone (570) 386-9910

2045 Westgate Dr
Ste 101
Bethlehem, PA 18017
Phone (610) 868-6353

1241 Blakeslee Boulevard Dr E
Lehighton, PA 18235
Phone (570) 386-6900

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.

NPI Registry JSON

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

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212105600000",
    "number": "1699729590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "223 RIDGE RD",
            "city": "DOUGLASTON",
            "state": "NY",
            "postal_code": "113631308",
            "telephone_number": "516-488-8808",
            "fax_number": "516-488-8818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1999 MARCUS AVE",
            "address_2": "SUITE M15",
            "city": "LAKE SUCCESS",
            "state": "NY",
            "postal_code": "110421013",
            "telephone_number": "516-488-8808",
            "fax_number": "516-488-8818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRAGAN",
        "first_name": "JOHN",
        "middle_name": "J",
        "credential": "P.T., GCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-22",
        "last_updated": "2008-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "015842-1",
            "primary": true
        },
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "NY",
            "license": "8191",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Success, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2008; 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.

Verify at the official NPI Registry.