Individual provider Active NPI

Dionisio B Mauro Jr., PT

  • Physical Therapist
  • Brooklyn, NY
National Provider Identifier
1972688018
Registry record updated Mar 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
NY0085571 Issued in NY
Practice address
332 Dekalb Ave
Brooklyn, NY 11205-3820
Phone
(718) 852-5252
Fax
(718) 802-1113
NPI assigned
Oct 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2008

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 NY0085571 NY Primary

Addresses

Primary practice location

332 Dekalb Ave
Brooklyn, NY 11205-3820

Mailing address

381 5TH St
Brooklyn, NY 11215-2806
Phone (718) 852-5252

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110427000335 NY Practitioner - Physical Therapist in Private Practice 8123203627 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prominis Medical Services PCGroup PAC ID 9537124441, 43 clinicians

Practice addresses (Care Compare)

332 Dekalb Ave
Brooklyn, NY 11205-3820
Phone (718) 852-5252

444 W 259TH St
Apt 1
Bronx, NY 10471-1622
Phone (718) 554-8354

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
008557NYMDMental Health Counselor
NY0085571NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Prominis Medical Services PC CurrentSince Oct 23, 2011 Accepting new patients
All Riverdale Physical Therapy, PC CurrentSince Jan 23, 2011 Accepting new patients
Thera Ex Orthopedic & Sports Physical Therapy, PC Physical Therapist Past Accepting new patients
Comprehensive Women'S Health of N.Y. PLLC PastSince Jan 9, 2009 Accepting new patients

Locations

3533 Riverdale Ave
Ste A
Bronx, NY 10463
Phone (718) 884-8248

444 W 259th St
Apt 1
Bronx, NY 10471
Phone (718) 549-2700

332 DeKalb Ave
Brooklyn, NY 11205
Phone 7185825252101

6829 Myrtle Ave
Glendale, NY 11385
Phone (718) 366-2242

13704 Guy R Brewer Blvd
Ste 1A
Jamaica, NY 11434
Phone (718) 527-3404

211 E 43rd St
Rm 1704
New York, NY 10017
Phone (212) 687-7077

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Organizations & group practices 4

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": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205107200000",
    "number": "1972688018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "381 5TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112152806",
            "telephone_number": "718-852-5252",
            "fax_number": "718-802-1113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "332 DEKALB AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112053820",
            "telephone_number": "718-852-5252",
            "fax_number": "718-802-1113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAURO",
        "first_name": "DIONISIO",
        "middle_name": "B",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-26",
        "last_updated": "2008-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "NY0085571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2008; 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.