Active NPI
Van Gamit Saligumba, PHYSICAL THERAPIST
- Physical Therapist
- Bronx, NY
National Provider Identifier
1801405543
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 041210
- Practice address
- 3777 Independence Ave Apt 5J
Bronx, NY 10463-1414 - Phone
- (347) 847-7717
- NPI assigned
- Jul 29, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 041210 | NY | Primary |
Addresses
Primary practice location
3777 Independence Ave Apt 5J
Bronx, NY 10463-1414
Mailing address
3777 Independence Ave Apt 5J
Bronx, NY 10463-1414
Phone (347) 847-7717
Other practice location 1
1088 N Broadway Fl 2
Yonkers, NY 10701-1107
Phone (914) 964-4408 ext. 1527
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
| License | State | Type | Specialty |
|---|---|---|---|
| 041210 | NY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1595980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1595980800000",
"number": "1801405543",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3777 INDEPENDENCE AVE APT 5J",
"city": "BRONX",
"state": "NY",
"postal_code": "104631414",
"telephone_number": "347-847-7717"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3777 INDEPENDENCE AVE APT 5J",
"city": "BRONX",
"state": "NY",
"postal_code": "104631414",
"telephone_number": "347-847-7717"
}
],
"practiceLocations": [
{
"address_1": "1088 N Broadway Fl 2",
"address_purpose": "LOCATION",
"city": "Yonkers",
"state": "NY",
"postal_code": "107011107",
"country_code": "US",
"telephone_number": "914-964-4408 x1527",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SALIGUMBA",
"first_name": "VAN",
"middle_name": "GAMIT",
"credential": "PHYSICAL THERAPIST",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-07-29",
"last_updated": "2020-07-29",
"certification_date": "2020-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "NY",
"license": "041210",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.