Active NPI
Hadassa Radzik
- Physical Therapist
- Brooklyn, NY
National Provider Identifier
1871964031
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 039119-1
- Practice address
- 2520 Kings Hwy
Apt 5D
Brooklyn, NY 11229-1766 - Phone
- (718) 614-1310
- NPI assigned
- Oct 14, 2015
- Sex
- Female
- 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 | 039119-1 | NY | Primary |
Addresses
Primary practice location
2520 Kings Hwy
Apt 5D
Brooklyn, NY 11229-1766
Mailing address
2520 Kings Hwy
Apt 5D
Brooklyn, NY 11229-1766
Phone (718) 614-1310
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 039119-1 | Other | NY | LICENSE# |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 039119-1 | NY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1444780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1444780800000",
"number": "1871964031",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2520 KINGS HWY",
"address_2": "APT 5D",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112291766",
"telephone_number": "718-614-1310"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2520 KINGS HWY",
"address_2": "APT 5D",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112291766",
"telephone_number": "718-614-1310"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RADZIK",
"first_name": "HADASSA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-10-14",
"last_updated": "2015-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "039119-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE#",
"identifier": "039119-1",
"state": "NY"
}
],
"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 Oct 14, 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.