Organization Active NPI

Haidee Ganz-Bonhurst P.T., P.C.

  • Physical Therapy Clinic/Center
  • Smithtown, NY
National Provider Identifier
1821361478
Registry record updated Feb 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
010927-1 Issued in NY
Legal business name
HAIDEE GANZ-BONHURST P.T., P.C.
Practice address
50 Route 111
Suite 103
Smithtown, NY 11787-3738
Phone
(631) 360-0723
Fax
(631) 360-2346
NPI assigned
Feb 13, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2012

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

Authorized official

Name
Mrs. Haidee Ganz-Bonhurst, DPTNPI 1922058981
Title
Owner
Phone
(631) 360-0723

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 010927-1 NY Primary

Addresses

Primary practice location

50 Route 111
Suite 103
Smithtown, NY 11787-3738

Mailing address

50 Route 111
Suite 103
Smithtown, NY 11787-3738
Phone (631) 360-0723

Other names 1

  • Metropolitan Physical Therapy East Doing business as

National Provider Directory

National Provider Directory

Locations

50 Route 111
Ste 103
Smithtown, NY 11787
Phone (516) 360-0723

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1329091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329091200000",
    "number": "1821361478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 ROUTE 111",
            "address_2": "SUITE 103",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117873738",
            "telephone_number": "631-360-0723",
            "fax_number": "631-360-2346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 ROUTE 111",
            "address_2": "SUITE 103",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117873738",
            "telephone_number": "631-360-0723",
            "fax_number": "631-360-2346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAIDEE GANZ-BONHURST P.T., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-13",
        "last_updated": "2012-02-13",
        "status": "A",
        "authorized_official_last_name": "GANZ-BONHURST",
        "authorized_official_first_name": "HAIDEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-360-0723",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NY",
            "license": "010927-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Metropolitan Physical Therapy East",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Smithtown, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 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.