Active NPI
Alglyn Bermillo Duran, P.T.
- Physical Therapist
- Jamaica, NY
National Provider Identifier
1902131485
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 026340
- Practice address
- 16605 Highland Ave
Apt 7Y
Jamaica, NY 11432-2617 - Phone
- (347) 255-3564
- NPI assigned
- Oct 16, 2009
- Sex
- Male
- 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 | 026340 | NY | Primary |
Addresses
Primary practice location
16605 Highland Ave
Apt 7Y
Jamaica, NY 11432-2617
Mailing address
16605 Highland Ave
Apt 7Y
Jamaica, NY 11432-2617
Phone (347) 255-3564
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 |
|---|---|---|---|
| 026340 | NY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1255651200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1255651200000",
"number": "1902131485",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16605 HIGHLAND AVE",
"address_2": "APT 7Y",
"city": "JAMAICA",
"state": "NY",
"postal_code": "114322617",
"telephone_number": "347-255-3564"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16605 HIGHLAND AVE",
"address_2": "APT 7Y",
"city": "JAMAICA",
"state": "NY",
"postal_code": "114322617",
"telephone_number": "347-255-3564"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DURAN",
"first_name": "ALGLYN",
"middle_name": "BERMILLO",
"name_prefix": "Mr.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-10-16",
"last_updated": "2009-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "026340",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jamaica, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 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.