Active NPI
John J Dragan, P.T., GCS
- Physical Therapist
- Lake Success, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 015842-1
- 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, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, PA
Enrollment records 2
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 100
- Quality
- 72.6
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 78.63
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 015842 | NY | MD | Mental Health Counselor |
| 8191 | NY | MD | Clinical Psychologist |
| 015842-1 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lake Success Physical Therapy P.C. | Physical Therapist | Current | Accepting new patients |
| Orthopaedic Associates of Allentown | Physical Therapist | Current | Accepting new patients |
| Orthopaedic Associates of Allentown | Physical Therapist | Current | Accepting new patients |
| Agewell Physical Therapy and Wellness, P.C. | Physical Therapist | Current | 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.
-
- Orthopaedic Surgery Physician
- Allentown, PA
- NPI 1801888987
Physical Therapist
-
- Physical Therapist
- Lake Success, NY
- NPI 1861485070
-
- Clinical Electrophysiology Physical Therapist
- New Hyde Park, NY
- NPI 1336604222
-
- Physical Therapist
- Allentown, PA
- NPI 1396775367
-
- Adult Mental Health Clinic/Center
- Little Neck, NY
- NPI 1205862950
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.