Individual provider Active NPI

Brandon Hulasiya

  • Physical Therapist
  • New York, NY
National Provider Identifier
1972099695
Registry record updated Jul 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
043055 Issued in NY
Practice address
1995 Broadway FL 15
New York, NY 10023-5882
Phone
(212) 712-2006
NPI assigned
Jul 5, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 5, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 043055 NY Primary

Addresses

Primary practice location

1995 Broadway FL 15
New York, NY 10023-5882

Mailing address

8 Tudor CT
Matawan, NJ 07747-3679

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181019000450 NY Practitioner - Physical Therapist in Private Practice 9830442979 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Columbia University College of Physicians and Surgeons, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ascenza LLCGroup PAC ID 2062877665, 4 clinicians

Practice addresses (Care Compare)

248 W 60TH St
New York, NY 10023-7403
Phone (917) 382-1225

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
043055NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
S2 Physical Therapy P.C. Physical Therapist CurrentSince Oct 1, 2022 Accepting new patients
Ascenza LLC Physical Therapist CurrentSince Mar 1, 2023 Accepting new patients
Holt Chiropractic Offices, P.C. Past Accepting new patients

Locations

1 Bridge St
Ste 71
Irvington, NY 10533
Phone (914) 375-3434

248 W 60th St
New York, NY 10023
Phone (203) 243-1563

1995 Broadway
Fl 15
New York, NY 10023
Phone (212) 712-2006

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1530748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530748800000",
    "number": "1972099695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 TUDOR CT",
            "city": "MATAWAN",
            "state": "NJ",
            "postal_code": "077473679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1995 BROADWAY FL 15",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100235882",
            "telephone_number": "212-712-2006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HULASIYA",
        "first_name": "BRANDON",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-07-05",
        "last_updated": "2018-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "043055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.