Organization Active NPI

New Age Physical Therapy PC

  • Physical Therapy Clinic/Center
  • Flushing, NY
National Provider Identifier
1881789873
Registry record updated Jun 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
NEW AGE PHYSICAL THERAPY PC
Practice address
3249 Francis Lewis Blvd
Flushing, NY 11358-1923
Phone
(718) 224-3818
NPI assigned
Oct 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2023

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

Authorized official

Name
Nirav ShahNPI 1699860767
Title
Physical Therapist/Director
Phone
(516) 270-5527

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

3249 Francis Lewis Blvd
Flushing, NY 11358-1923

Mailing address

80 I U Willets Rd
Roslyn, NY 11576-3038
Phone (516) 270-5527

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051114000928 NY Part B Supplier - Clinic/Group Practice 9032138516 Receives reassigned benefits from 2 practitioners
Practice locations: Flushing, NY; Roslyn, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686873600000",
    "number": "1881789873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 I U WILLETS RD",
            "city": "ROSLYN",
            "state": "NY",
            "postal_code": "115763038",
            "telephone_number": "516-270-5527",
            "fax_number": "516-908-5441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3249 FRANCIS LEWIS BLVD",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113581923",
            "telephone_number": "718-224-3818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW AGE PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2023-06-16",
        "certification_date": "2023-06-16",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "NIRAV",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST/DIRECTOR",
        "authorized_official_telephone_number": "516-270-5527"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.