Plaza One Medical Healthcare PC

Primary specialty

Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X

License

234017 Issued in NY

Legal business name

PLAZA ONE MEDICAL HEALTHCARE PC

Practice address

835 61St St
2ND Floor
Brooklyn, NY 11220-4312

Phone

(718) 854-8869

Fax

(718) 854-8861

NPI assigned

Mar 10, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Dante Acebo Cubangbang, M.D.

Title

President- Owner

Phone

(718) 854-8869

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 3

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

• Liye Li, M.D.

  • General Practice Physician
  • Brooklyn, NY
  • NPI 1538498639
  NPD (past)
• Christian Bancaya Olivares, PT

  • Physical Therapist
  • Westbury, NY
  • NPI 1285718247
  NPD (past)
• Seungye Jeon

  • Physical Therapist
  • Gaithersburg, MD
  • NPI 1063835494
  NPD (past)

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

{
    "created_epoch": "1268179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384473600000",
    "number": "1932422680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "894 OAKS DR",
            "city": "FRANKLIN SQUARE",
            "state": "NY",
            "postal_code": "110101936",
            "telephone_number": "516-270-2755",
            "fax_number": "516-270-2755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "835 61ST ST",
            "address_2": "2ND FLOOR",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112204312",
            "telephone_number": "718-854-8869",
            "fax_number": "718-854-8861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLAZA ONE MEDICAL HEALTHCARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-10",
        "last_updated": "2013-11-15",
        "status": "A",
        "authorized_official_last_name": "CUBANGBANG",
        "authorized_official_first_name": "DANTE",
        "authorized_official_middle_name": "ACEBO",
        "authorized_official_title_or_position": "PRESIDENT- OWNER",
        "authorized_official_telephone_number": "718-854-8869",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "NY",
            "license": "234017",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02623398",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Playful ABA
• Plaza Endodontic GRP PC
• Plaza Foot Care P.C.
• Karin Johanna Plaza Lazo, MD
• Plaza Medical, P.C.
• Plaza Optical
• Plaza Optical Centre, Inc
• Natalia Itxel Plaza, RDH
• Pleasant Dentistry P.C.
• William Andrew Pleasant, MD

• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Pain Medicine (Physical Medicine & Rehabilitation) Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2013; 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.