Individual provider Active NPI

Albert Strojan, DO

  • Family Medicine Physician
  • Valley Stream, NY
National Provider Identifier
1871691980
Registry record updated Nov 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
212127-1 Issued in NY
Practice address
85 Roosevelt Avenue
Valley Stream, NY 11581
Phone
(516) 791-9500
NPI assigned
Sep 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 21, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 212127-1 NY Primary

Addresses

Primary practice location

85 Roosevelt Avenue
Valley Stream, NY 11581

Mailing address

85 Roosevelt Ave
Valley Stream, NY 11581-1133
Phone (516) 791-9500

Other identifiers 1

IdentifierTypeStateIssuer
01987562MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050323000901 NY Practitioner - Family PracticePractitioner - General PracticePractitioner - Preventive MedicinePractitioner - Osteopathic Manipulative MedicinePractitioner - Pediatric Medicine 8729034780 Practice locations: Valley Stream, NY

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
212127-1NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Visiting PT OT Services PLLC CurrentSince Jun 12, 2021 Accepting new patients

Locations

85 Roosevelt Ave
#A
Valley Stream, NY 11581
Phone (516) 791-9500

85 Roosevelt Ave
Valley Stream, NY 11581
Phone (516) 791-9500

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.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1227225600000",
    "number": "1871691980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 ROOSEVELT AVE",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115811133",
            "telephone_number": "516-791-9500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 ROOSEVELT AVENUE",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "11581",
            "telephone_number": "516-791-9500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STROJAN",
        "first_name": "ALBERT",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2008-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "212127-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01987562",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Valley Stream, NY

Sources for this page

Verify at the official NPI Registry.