Verrazano Physical Therapy PC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

0140801 Issued in NY

Legal business name

VERRAZANO PHYSICAL THERAPY PC

Practice address

6911 Fort Hamilton Pkwy
Brooklyn, NY 11228-1101

Phone

(718) 630-1290

Fax

(718) 630-1291

NPI assigned

May 14, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Bayomy A Moustafa, P.TNPI 1528019197

Title

Dr.

Phone

(718) 630-1290

Specialties & licenses 2

Addresses

Other identifiers 4

Locations

Practitioners 2

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

• Bayomy Moustafa, PT

  • Physical Therapist
  • Brooklyn, NY
  • NPI 1528019197
  NPD Authorized official
• Gowad Shalabi, PT

  • Physical Therapist
  • Brooklyn, NY
  • NPI 1851343016
  NPD (past)

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245024000000",
    "number": "1912112566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6911 FORT HAMILTON PKWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112281101",
            "telephone_number": "718-630-1290",
            "fax_number": "718-630-1291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6911 FORT HAMILTON PKWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112281101",
            "telephone_number": "718-630-1290",
            "fax_number": "718-630-1291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VERRAZANO PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-14",
        "last_updated": "2009-06-15",
        "status": "A",
        "authorized_official_last_name": "MOUSTAFA",
        "authorized_official_first_name": "BAYOMY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DR.",
        "authorized_official_telephone_number": "718-630-1290",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "P.T"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "0140801",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "0144721",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER NPI",
            "identifier": "1528019197",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01743580",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02738636",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER NPI",
            "identifier": "1851343016",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jacqueline Marie Vernon
• Nicole Vernon
• Ellen Verny, LMSW-R
• Vero Medical Supply Inc
• Verrazano Medical Supply Inc.
• Verrazano Vision Inc
• Versacare, Inc.
• Lindiana Versailles, NP,RN
• Narcisse Versailles, MD
• Samantha Versakos, M.S SLP

• Physical Therapist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 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.

Verify at the official NPI Registry.