Individual provider Active NPI

Madelon Aguilera Lanip

  • Physical Therapist
  • New York, NY
National Provider Identifier
1972716652
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
028588 Issued in NY
Practice address
139 Fulton St RM 700
New York, NY 10038-2533
Phone
(212) 406-0127
NPI assigned
May 8, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 028588 NY Primary

Addresses

Primary practice location

139 Fulton St RM 700
New York, NY 10038-2533

Mailing address

1915 Axton Ave FL 2
Union, NJ 07083-6110
Phone (908) 731-2048

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190812000971 NY Practitioner - Physical Therapist in Private Practice 4385971597 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
United Cerebral Palsy Assoc of Nys IncGroup PAC ID 0749275584, 23 clinicians

Practice addresses (Care Compare)

2324 Forest Ave
Staten Island, NY 10303-1506
Phone (718) 447-0200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
United Cerebral Palsy Associations of New York State, Inc. Current Accepting new patients
Harlem Medical Associates PC CurrentSince Jul 10, 2019 Accepting new patients
United Cerebral Palsy Assoc of Nys Inc CurrentSince Jan 3, 2023 Accepting new patients
United Cerebral Palsy Assoc of Nys Inc. CurrentSince Jan 3, 2023 Accepting new patients
United Cerebral Palsy Assoc of Nys Inc. Past Accepting new patients
Rockwell Medical PC Past Accepting new patients

Locations

979 Cross Bronx Expy
Bronx, NY 10460
Phone 71866575653009

921 E New York Ave
#C
Brooklyn, NY 11203
Phone (718) 778-8587

40 Rector St
Fl 15
New York, NY 10006
Phone (929) 647-4796

506 Malcolm X Blvd
New York, NY 10037
Phone (212) 939-1000

6135 220th St
Oakland Gardens, NY 11364
Phone (646) 518-7584

2324 Forest Ave
Staten Island, NY 10303
Phone (718) 447-0200

Organizations & group practices 6

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": "1178582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1972716652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1915 AXTON AVE FL 2",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070836110",
            "telephone_number": "908-731-2048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 FULTON ST RM 700",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100382533",
            "telephone_number": "212-406-0127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANIP",
        "first_name": "MADELON",
        "middle_name": "AGUILERA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "028588",
            "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 8, 2007; 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.