Merville Earle Quailey Jr., D.P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

028765 Issued in NY

Practice address

5874 57TH St
Maspeth, NY 11378-3126

Phone

(718) 456-7105

NPI assigned

Mar 18, 2012

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1332028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427846400000",
    "number": "1841565223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58-74 57TH STREET",
            "city": "MASPETH",
            "state": "NY",
            "postal_code": "11378",
            "telephone_number": "646-263-9252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5874 57TH ST",
            "city": "MASPETH",
            "state": "NY",
            "postal_code": "113783126",
            "telephone_number": "718-456-7105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUAILEY",
        "first_name": "MERVILLE",
        "middle_name": "EARLE",
        "name_suffix": "Jr.",
        "credential": "D.P.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-03-18",
        "last_updated": "2015-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "028765",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Maspeth, NY
• Providers in Maspeth, 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 Apr 1, 2015; 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.