Individual provider Active NPI

Conie Uygongco, D.D.T

  • Physical Therapist
  • Brooklyn, NY
National Provider Identifier
1750748760
Registry record updated Jan 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
032403-1 Issued in NY
Practice address
2279 Coney Island Ave
2B
Brooklyn, NY 11223-3337
Phone
(718) 998-9890
Fax
(718) 998-9891
NPI assigned
Jan 21, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 21, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 032403-1 NY Primary

Addresses

Primary practice location

2279 Coney Island Ave
2B
Brooklyn, NY 11223-3337

Mailing address

2279 Coney Island Ave
2B
Brooklyn, NY 11223-3337
Phone (718) 998-9890

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170130000582 NY Practitioner - Physical Therapist in Private Practice 0840572707 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
032403-1NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Tri Physical Therapy PC Physical Therapist CurrentSince Jan 20, 2017 Accepting new patients

Locations

35 W End Ave
Ste C1
Brooklyn, NY 11235
Phone (718) 232-5050

35 W End Ave
Brooklyn, NY 11235
Phone (718) 998-9877

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1453334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453334400000",
    "number": "1750748760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2279 CONEY ISLAND AVE",
            "address_2": "2B",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112233337",
            "telephone_number": "718-998-9890",
            "fax_number": "718-998-9891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2279 CONEY ISLAND AVE",
            "address_2": "2B",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112233337",
            "telephone_number": "718-998-9890",
            "fax_number": "718-998-9891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UYGONGCO",
        "first_name": "CONIE",
        "name_prefix": "Mrs.",
        "credential": "D.D.T",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-21",
        "last_updated": "2016-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "032403-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2016; 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.