New York Emg PT PC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

NEW YORK EMG PT PC

Practice address

11 Ralph PL
Staten Island, NY 10304-4401

Phone

(917) 930-2018

Fax

(917) 407-1996

NPI assigned

Jun 17, 2022

Last updated

Jun 17, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Hesham Elwakil, DPTNPI 1740601541

Title

Ceo

Phone

(347) 283-5068

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Hesham Elwakil, PT

  • Specialist
  • Staten Island, NY
  • NPI 1740601541
  Medicare reassignment Authorized official
• Elhussein Ahmed, PT, MSC

  • Physical Therapist
  • Bronx, NY
  • NPI 1346823705
  NPD (past)
• Hossameldin N Salem, DPT

  • Physical Therapist
  • Brooklyn, NY
  • NPI 1578912531
  NPD (past)
• Nancy Abadir, PT

  • Physical Therapist
  • Spotswood, NJ
  • NPI 1699449983
  NPD (past)

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

{
    "created_epoch": "1655424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655424000000",
    "number": "1730810060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 MOSELY AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103124165",
            "telephone_number": "347-283-5068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 RALPH PL",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103044401",
            "telephone_number": "917-930-2018",
            "fax_number": "917-407-1996"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "235 Wyckoff Ave",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112375303",
            "country_code": "US",
            "telephone_number": "718-418-4700",
            "fax_number": "914-407-1996",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NEW YORK EMG PT PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-17",
        "last_updated": "2022-06-17",
        "certification_date": "2022-06-15",
        "status": "A",
        "authorized_official_last_name": "ELWAKIL",
        "authorized_official_first_name": "HESHAM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "347-283-5068",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• New York Pain Care Consultant PLLC
• New York Psychological Practice

• Physical Therapy Clinic/Center in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Physical Therapy Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.