Active NPI
Suree Wanagosit, RPT
- Pediatric Physical Therapist
- Somerset, NJ
National Provider Identifier
1962656652
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Physical Therapist
- License
- 022760-1
- Practice address
- 404 Hawkshead Way
Somerset, NJ 08873-4967 - Phone
- (732) 873-1787
- Fax
- (732) 873-7660
- NPI assigned
- Nov 9, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | 022760-1 | NY | Primary |
Addresses
Primary practice location
404 Hawkshead Way
Somerset, NJ 08873-4967
Mailing address
404 Hawkshead Way
Somerset, NJ 08873-4967
Phone (732) 873-1787
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 |
|---|---|---|---|
| 022760-1 | NY | MD | Pediatric Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1226188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1226188800000",
"number": "1962656652",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "404 HAWKSHEAD WAY",
"city": "SOMERSET",
"state": "NJ",
"postal_code": "088734967",
"telephone_number": "732-873-1787",
"fax_number": "732-873-7660"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "404 HAWKSHEAD WAY",
"city": "SOMERSET",
"state": "NJ",
"postal_code": "088734967",
"telephone_number": "732-873-1787",
"fax_number": "732-873-7660"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WANAGOSIT",
"first_name": "SUREE",
"name_prefix": "Mrs.",
"credential": "RPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-11-09",
"last_updated": "2008-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "NY",
"license": "022760-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Somerset, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.