Active NPI
Ayam Tirona Deleon, PT
- Orthopedic Physical Therapist
- Hollis, NY
National Provider Identifier
1821084385
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 0229731
- Practice address
- 8798 193Rd St
Hollis, NY 11423-1439 - Phone
- (718) 291-4703
- Fax
- (914) 739-3140
- NPI assigned
- Sep 21, 2005
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | 0229731 | NY | |
| Orthopedic Physical Therapist | 2251X0800X | 0229731 | NY | Primary |
Addresses
Primary practice location
8798 193Rd St
Hollis, NY 11423-1439
Mailing address
637 Cardinal Rd
Cortlandt Manor, NY 10567-5201
Phone (845) 282-1022
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11934054 | Other | CAQH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
216 S Division St
Suite 102
Peekskill, NY 10566-3612
Phone (914) 999-0120
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0229731 | NY | MD | Pediatric Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ayam de Leon PT, P.C. | Current | Accepting new patients | |
| Mac Anesthesia, PC | Current | Accepting new patients | |
| Prime Motion Physical Therapy PC | Current | Accepting new patients | |
| Shelby Physical Therapy Services PC | Pediatrics | Past | Accepting new patients |
Locations
1815 Flatbush Ave
Brooklyn, NY 11210
Phone (718) 479-3900
11208 Liberty Ave
South Richmond Hl, NY 11419
Phone (718) 479-3900
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapy Clinic/Center
- Hollis, NY
- NPI 1659517662
-
- Anesthesiology Physician
- Hollis, NY
- NPI 1720018989
-
- Physical Therapy Clinic/Center
- Bronx, NY
- NPI 1851963524
-
- Physical Medicine & Rehabilitation Physician
- Ossining, NY
- NPI 1962802199
Pediatrics
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127260800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1328659200000",
"number": "1821084385",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "637 CARDINAL RD",
"city": "CORTLANDT MANOR",
"state": "NY",
"postal_code": "105675201",
"telephone_number": "845-282-1022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8798 193RD ST",
"city": "HOLLIS",
"state": "NY",
"postal_code": "114231439",
"telephone_number": "718-291-4703",
"fax_number": "914-739-3140"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DELEON",
"first_name": "AYAM",
"middle_name": "TIRONA",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-09-21",
"last_updated": "2012-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "NY",
"license": "0229731",
"primary": false
},
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "NY",
"license": "0229731",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "11934054",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hollis, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.