Organization Active NPI

Jonathan Dembitzer Advanced Physical Therapy

  • Physical Therapist
  • Far Rockaway, NY
National Provider Identifier
1982897013
Registry record updated Aug 22, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
025991-1 Issued in NY
Legal business name
JONATHAN DEMBITZER ADVANCED PHYSICAL THERAPY
Practice address
619 Elvira Ave
Far Rockaway, NY 11691-5404
Phone
(917) 468-5253
NPI assigned
Aug 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2007

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

Authorized official

Name
Gila Dembitzer
Title
Manager
Phone
(718) 490-9781

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 025991-1 NY Primary

Addresses

Primary practice location

619 Elvira Ave
Far Rockaway, NY 11691-5404

Mailing address

619 Elvira Ave
Far Rockaway, NY 11691-5404
Phone (917) 468-5253

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1187740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187740800000",
    "number": "1982897013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "619 ELVIRA AVE",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "116915404",
            "telephone_number": "917-468-5253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "619 ELVIRA AVE",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "116915404",
            "telephone_number": "917-468-5253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JONATHAN DEMBITZER ADVANCED PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-22",
        "last_updated": "2007-08-22",
        "status": "A",
        "authorized_official_last_name": "DEMBITZER",
        "authorized_official_first_name": "GILA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "718-490-9781"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "025991-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Far Rockaway, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.