Active NPI
John C Dugan, PT OCS NCS GCS
- Physical Therapist
- Farmingdale, NY
National Provider Identifier
1841279817
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 0063581
- Practice address
- 326 Main St
Farmingdale, NY 11735 - Phone
- (516) 293-0565
- Fax
- (516) 293-1897
- NPI assigned
- Jan 10, 2006
- Sex
- Male
- Sole proprietor
- No
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 | 0063581 | NY | Primary |
Addresses
Primary practice location
326 Main St
Farmingdale, NY 11735
Mailing address
326 Main St
Farmingdale, NY 11735
Phone (516) 293-0565
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 006358 | Other | HIP | |
| AS400 | Other | OXFORD | |
| 2C2669 | Other | HEALTHNET | |
| 37017 | Other | VYTRA |
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, 1979
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
326 Main St
Farmingdale, NY 11735-3507
Phone (516) 293-0565
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.46 of 100
- Quality
- 90
- Improvement activities
- 40
- Cost
- 74.85
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0063581 | NY | MD | Physical Therapist |
| 006358 | NY | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Farmingdale Physical Therapy East LLC | Physical Therapist | Current | Accepting new patients |
| Farmingdale Physical Therapy Assoc PC | Past | Accepting new patients |
Locations
326 Main St
Farmingdale, NY 11735
Phone (516) 293-0565
326 Main St
#328
Farmingdale, NY 11735
Phone (516) 293-0565
Organizations & group practices 2
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 Therapist
- Farmingdale, NY
- NPI 1376842658
-
- Physical Medicine & Rehabilitation Physician
- Famingdale, NY
- NPI 1386622553
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136851200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1207094400000",
"number": "1841279817",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "326 MAIN ST",
"city": "FARMINGDALE",
"state": "NY",
"postal_code": "11735",
"telephone_number": "516-293-0565",
"fax_number": "516-293-1897"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "326 MAIN ST",
"city": "FARMINGDALE",
"state": "NY",
"postal_code": "11735",
"telephone_number": "516-293-0565",
"fax_number": "516-293-1897"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUGAN",
"first_name": "JOHN",
"middle_name": "C",
"name_prefix": "Mr.",
"credential": "PT OCS NCS GCS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-10",
"last_updated": "2008-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "0063581",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIP",
"identifier": "006358",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "AS400",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET",
"identifier": "2C2669",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VYTRA",
"identifier": "37017",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Farmingdale, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2008; 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.