Edward Mordukhay, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

022991 Issued in NY

Practice address

6393 Fitchett St
Rego Park, NY 11374-4830

Phone

(917) 846-9645

NPI assigned

Mar 29, 2007

Last updated

Jul 9, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/EAFABA

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

• PT Rehabilitation PC

  • Physical Therapist
  • Rego Park, NY
  • NPI 1356548457
  Medicare reassignment NPD Authorized official
• At Your Doorstep OT PLLC

  • Occupational Therapist
  • Brooklyn, NY
  • NPI 1073371902

  Physical Therapist

  Medicare reassignment NPD
• New York Physical and Occupational Therapy Services, PLLC

  dba New York Therapy And Wellness

  • Physical Therapist
  • Brooklyn, NY
  • NPI 1356703631
  Medicare reassignment NPD
• Rehab on Wheels OT PT PLLC

  • Occupational Therapist
  • Brooklyn, NY
  • NPI 1245754225

  Physical Therapist

  Medicare reassignment NPD
• Prokinetics Physical Therapy P.C.

  • Physical Therapist
  • Brooklyn, NY
  • NPI 1922412220
  NPD
• Long Island Rheumatology PLLC

  • Rheumatology Physician
  • New Hyde Park, NY
  • NPI 1316710650
  NPD (past)
• Queens Star Medical PLLC

  • Internal Medicine Physician
  • Rego Park, NY
  • NPI 1417145582
  NPD (past)

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1811017569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6393 FITCHETT ST",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113744830",
            "telephone_number": "917-846-9645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6393 FITCHETT ST",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113744830",
            "telephone_number": "917-846-9645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORDUKHAY",
        "first_name": "EDWARD",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-29",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "022991",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02623265",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Montefiore Medical Center
• Montefiore Medical Center
• Montefiore Medical Center
• Milet Marcela Montoya, CFY
• Gregory Moore Sr., CASAC
• Evelyn Moreau, H.I.S.
• Itzel Guadalupe Moreno-Vega, LMSW, OSW-C
• Novia Morgan
• Chana Morgenstern
• Paul Mori, LMT

• Physical Therapist in Rego Park, NY
• Providers in Rego Park, 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 Jul 9, 2007; 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.