Individual provider Active NPI

Shreen Elsarrogy

  • Physical Therapist
  • New York, NY
National Provider Identifier
1801161344
Registry record updated Mar 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
023870 Issued in NY
Practice address
281 9TH Ave
New York, NY 10001-5701
Phone
(212) 244-6426
NPI assigned
Mar 16, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 16, 2012

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 023870 NY Primary

Addresses

Primary practice location

281 9TH Ave
New York, NY 10001-5701

Mailing address

110 W Central Ave
Maywood, NJ 07607-1104
Phone (201) 457-9009

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
023870NYMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1331856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331856000000",
    "number": "1801161344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 W CENTRAL AVE",
            "city": "MAYWOOD",
            "state": "NJ",
            "postal_code": "076071104",
            "telephone_number": "201-457-9009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "281 9TH AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100015701",
            "telephone_number": "212-244-6426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELSARROGY",
        "first_name": "SHREEN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-16",
        "last_updated": "2012-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "023870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2012; 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.