Active NPI
Mizar Rosillon Gupit, PT
- Physical Therapist
- New York, NY
National Provider Identifier
1851933634
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 042882
- Practice address
- 333 E 100TH St
New York, NY 10029-6605 - Phone
- (212) 987-6300
- NPI assigned
- Oct 13, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 042882 | NY | Primary |
Addresses
Primary practice location
333 E 100TH St
New York, NY 10029-6605
Mailing address
3241 43Rd St Apt 2F
Astoria, NY 11103-2726
Phone (201) 952-8612
Other practice location 1
1345 Avenue Of The Americas Fl 11
New York, NY 10105-0013
Phone (212) 981-1977
Other practice location 2
8415 4th Ave Apt A17
Brooklyn, NY 11209-4624
Phone (718) 921-9721
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 042882 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Triumph Physical Therapy PLLC | Past | Accepting new patients |
Organizations & group practices 1
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
- New York, NY
- NPI 1508025552
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1570924800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1772841600000",
"number": "1851933634",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3241 43RD ST APT 2F",
"city": "ASTORIA",
"state": "NY",
"postal_code": "111032726",
"telephone_number": "201-952-8612"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 E 100TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100296605",
"telephone_number": "212-987-6300"
}
],
"practiceLocations": [
{
"address_1": "1345 Avenue Of The Americas Fl 11",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "101050013",
"country_code": "US",
"telephone_number": "212-981-1977",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8415 4th Ave Apt A17",
"address_purpose": "LOCATION",
"city": "Brooklyn",
"state": "NY",
"postal_code": "112094624",
"country_code": "US",
"telephone_number": "718-921-9721",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GUPIT",
"first_name": "MIZAR",
"middle_name": "ROSILLON",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-10-13",
"last_updated": "2026-03-07",
"certification_date": "2026-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "042882",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.