Sedric Casupang, P.T.

Primary specialty

SpecialistTaxonomy code 174400000X

License

031206-1 Issued in NU

Practice address

10509 Jamaica Ave
Richmond Hill, NY 11418-2014

Phone

(718) 441-3211

Fax

(718) 441-3744

NPI assigned

Jan 15, 2010

Last updated

Nov 28, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Kanter Physical Medicine & Rehab PC

  • Physical Medicine & Rehabilitation Physician
  • Richmond Hill, NY
  • NPI 1417214966
  NPD (past)
• Miriam Kanter MD PC

  • Physical Medicine & Rehabilitation Physician
  • Richmond Hill, NY
  • NPI 1295863926
  NPD (past)
• Synergy Physical Therapy & Chiropractic PLLC

  • Chiropractor
  • Corona, NY
  • NPI 1023533437
  NPD (past)

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

{
    "created_epoch": "1263513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322438400000",
    "number": "1730410663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10509 JAMAICA AVE",
            "city": "RICHMOND HILL",
            "state": "NY",
            "postal_code": "114182014",
            "telephone_number": "718-441-3211",
            "fax_number": "718-441-3744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10509 JAMAICA AVE",
            "city": "RICHMOND HILL",
            "state": "NY",
            "postal_code": "114182014",
            "telephone_number": "718-441-3211",
            "fax_number": "718-441-3744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASUPANG",
        "first_name": "SEDRIC",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-01-15",
        "last_updated": "2011-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": "031206-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "031206-1",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashley Carbonaro, M.S.
• Casa Physical & Occupational Therapy PLLC
• Mariann Casottana
• Mark Anthony Castagna, DDS
• Carlos Castillo, SP. ED. TEACHER
• Catherine Alikor Mpi, Physician PC
• Century Ambulance Service Org, (Century One)
• Lynn Marie Cervo, LCSWR
• Jerrin Chacko, PMHNP
• Tammy Chaimov

• Specialist in Richmond Hill, NY
• Providers in Richmond Hill, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2011; 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.