Malcan Physical Therapy, P.C.

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

017983-1 Issued in NY

Legal business name

MALCAN PHYSICAL THERAPY, P.C.

Practice address

5011 Queens Blvd BSMT
Woodside, NY 11377-4469

Phone

(718) 749-6838

Fax

(718) 343-2317

NPI assigned

May 13, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Rafael Buenaventura Dela Cruz, P.T.NPI 1679629570

Title

President

Phone

(718) 749-6838

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rafael Buenaventura Dela Cruz, P.T.

  • Physical Therapist
  • Woodside, NY
  • NPI 1679629570
  Medicare reassignment NPD Authorized official
• Abigail Morales, PT

  • Physical Therapist
  • Woodside, NY
  • NPI 1053532903
  NPD (past)

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

{
    "created_epoch": "1210636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210636800000",
    "number": "1760659239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7805 270TH ST",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110401527",
            "telephone_number": "718-749-6838",
            "fax_number": "718-343-2317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5011 QUEENS BLVD BSMT",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "113774469",
            "telephone_number": "718-749-6838",
            "fax_number": "718-343-2317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MALCAN PHYSICAL THERAPY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-13",
        "last_updated": "2008-05-13",
        "status": "A",
        "authorized_official_last_name": "DELA CRUZ",
        "authorized_official_first_name": "RAFAEL",
        "authorized_official_middle_name": "BUENAVENTURA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-749-6838",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NY",
            "license": "017983-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shanti Maharjan, RN
• Farihah Mahmood
• Basma Mahmoud
• Emily R Maina, SLP-CF
• Zulfiya Malayev
• Jonathan Jose Maldonado
• Ranendra Pratap Malla
• Managed Care Physical Therapy PLLC
• Christina Mancuso
• Manhattan Home Care LTD

• Physical Therapy Clinic/Center in Woodside, NY
• Providers in Woodside, 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 May 13, 2008; 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.