Dustin Murry

Primary specialty

SpecialistTaxonomy code 174400000X

License

0391551 Issued in NY

Practice address

2025 Richmond Ave
Suite 200
Staten Island, NY 10314-3937

Phone

(718) 477-0961

Fax

(718) 698-1753

NPI assigned

Aug 13, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Active Physical Therapy, LLC

  • Physical Therapist
  • Manasquan, NJ
  • NPI 1982761391
  Medicare reassignment NPD

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

{
    "created_epoch": "1439424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439424000000",
    "number": "1932575933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "79 MORGAN PL",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088165007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2025 RICHMOND AVE",
            "address_2": "SUITE 200",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103143937",
            "telephone_number": "718-477-0961",
            "fax_number": "718-698-1753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURRY",
        "first_name": "DUSTIN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-08-13",
        "last_updated": "2015-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "0391551",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walkiria Murphy, M.S.SPED
• Jennifer Ann Murray, MA, CCC-SLP
• John Murray Jr.
• Mary Ann Murray, PT
• Rachel Murray
• Laura H Murry
• Syed A Murtaza, RVT
• Kalai Murthy, M.D
• Vinodkumar Murugesan, M.D.
• Seetha R Murukutla, M.D

• Specialist in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2015; 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.