Organization Active NPI

Cutting Edge Physical Therapy & Wellness Inc

  • Health Maintenance Organization
  • Brooklyn, NY
National Provider Identifier
1851568752
Registry record updated Jun 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
029404 Issued in NY
Legal business name
CUTTING EDGE PHYSICAL THERAPY & WELLNESS INC
Practice address
1624 Dean St
Brooklyn, NY 11213-1713
Phone
(718) 360-1697
NPI assigned
May 12, 2008
Last updated
Jun 15, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2009

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

Authorized official

Name
Dr. Pauline Adelione White, D.P.T.
Title
Physical Therapist
Phone
(718) 360-1697

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X 029404 NY Primary

Addresses

Primary practice location

1624 Dean St
Brooklyn, NY 11213-1713

Mailing address

1624 Dean St
Brooklyn, NY 11213-1713
Phone (718) 360-1697

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1210550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245024000000",
    "number": "1851568752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1624 DEAN ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112131713",
            "telephone_number": "718-360-1697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1624 DEAN ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112131713",
            "telephone_number": "718-360-1697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUTTING EDGE PHYSICAL THERAPY & WELLNESS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-12",
        "last_updated": "2009-06-15",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "PAULINE",
        "authorized_official_middle_name": "ADELIONE",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "718-360-1697",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.T."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "NY",
            "license": "029404",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2009; 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.