Organization Active NPI

SJ Physical Therapy & Acupuncture PC

  • Physical Therapist
  • New York, NY
National Provider Identifier
1720612328
Registry record updated Feb 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
SJ PHYSICAL THERAPY & ACUPUNCTURE PC
Practice address
426 W 58TH St PH 1
New York, NY 10019-1120
Phone
(848) 565-4819
Fax
(646) 559-1358
NPI assigned
Feb 24, 2020
Last updated
Feb 28, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2020

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

Authorized official

Name
Mrs. Jenny Dong
Title
Office Manager
Phone
(848) 565-4819

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X NU
Physical Therapist 225100000X NU Primary

Addresses

Primary practice location

426 W 58TH St PH 1
New York, NY 10019-1120

Mailing address

426 W 58TH St PH 1
New York, NY 10019-1120
Phone (848) 565-4819

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1582502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582848000000",
    "number": "1720612328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "426 W 58TH ST PH 1",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100191120",
            "telephone_number": "848-565-4819",
            "fax_number": "646-559-1358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "426 W 58TH ST PH 1",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100191120",
            "telephone_number": "848-565-4819",
            "fax_number": "646-559-1358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SJ PHYSICAL THERAPY & ACUPUNCTURE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-24",
        "last_updated": "2020-02-28",
        "certification_date": "2020-02-28",
        "status": "A",
        "authorized_official_last_name": "DONG",
        "authorized_official_first_name": "JENNY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "848-565-4819",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2020; 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.