New Standards Physical Therapy, PC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

022292 Issued in NY

Legal business name

NEW STANDARDS PHYSICAL THERAPY, PC

Practice address

1 Bay Club Dr
Apt. 14-O
Bayside, NY 11360-2955

Phone

(917) 604-5403

NPI assigned

Nov 22, 2016

Organization subpart

No

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

Authorized official

Name

Boris Pugachevsky Sr., PTNPI 1740327857

Title

Physical Therapist

Phone

(917) 604-5403

Specialties & licenses 1

Addresses

Practitioners 1

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

• Boris S Pugachevsky, PT

  • Physical Therapist
  • Bayside, NY
  • NPI 1740327857
  NPD (past) Authorized official

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

{
    "created_epoch": "1479772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479772800000",
    "number": "1780127886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 BAY CLUB DR",
            "address_2": "APT. 14-O",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113602955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BAY CLUB DR",
            "address_2": "APT. 14-O",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113602955",
            "telephone_number": "917-604-5403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW STANDARDS PHYSICAL THERAPY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-22",
        "last_updated": "2016-11-22",
        "status": "A",
        "authorized_official_last_name": "PUGACHEVSKY",
        "authorized_official_first_name": "BORIS",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "917-604-5403",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "022292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Bayside, NY
• Providers in Bayside, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2016; 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.