LUGO COMPREHENSIVE PT SERVICES (NPI# 1710011465) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710011465 |
| Entity Type | Organization |
| Organization Name | LUGO COMPREHENSIVE PT SERVICES |
| Practice Address |
515 Neckar Ave Staten Island NY 10304-4511 |
| Mailing Address |
117 Charlotte Ter Roselle Park NJ 07204-2406 |
| Practice Telephone | 6463611501 |
| Mailing Telephone | 6463611501 |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2012-05-22 |
| Authorized Official Name | MR. JOHN E LUGO (OWNER) |
| Authorized Official Telephone | 6463611501 |
| Authorized Official Credential | PT, ECS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
40QA01210900 | NJ | Ambulatory Health Care Facilities |
| N | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
22051 | MD | Ambulatory Health Care Facilities |
| N | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
PT019858 | PA | Ambulatory Health Care Facilities |
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
025272 | NY | Ambulatory Health Care Facilities |
| Street Address |
515 NECKAR AVE |
| City | STATEN ISLAND |
| State | NY |
| Zip Code | 10304-4511 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215542923 | Margaret Chifong Tam | Nurse Practitioner | 85 Venice Avenue, Staten Island, NY 10304 | 2020-09-10 |
| 1598397788 | Alexandria & Akea's Playhouse, Inc. | Day Training, Developmentally Disabled Services | 1864 Clove Road, Staten Island, NY 10304 | 2020-02-06 |
| 1548746811 | Bryant Edward Pearson | Technician/Technologist | 664 Bay Street, Staten Island, NY 10304 | 2018-07-19 |
| 1366941668 | Safwat Attia Youssef | Orthopaedic Surgery | 25 Sunrise Terrace, Staten Island, New York, NY 10304 | 2018-02-02 |
| 1699294090 | Kate Lynn Chimienti | Specialist/Technologist | 52 Smith Ter Fl1, Staten Island, NY 10304 | 2017-09-17 |
| 1881117315 | Fun Speech Therapy, P.C. | Early Intervention Provider Agency | 367 St Pauls Ave., Staten Island, NY 10304 | 2017-07-17 |
| 1720517097 | Senada Pelinkovic | Speech-Language Pathologist | 29 Remsen St, Staten Island, NY 10304 | 2017-06-08 |
| 1760927255 | Kpannah Moore | Licensed Practical Nurse | 492 Vanderbilt Avenue, Staten Island, NY 10304 | 2016-12-20 |
| 1689116592 | Rena Li | Registered Nurse | 30 Celebration Lane, Staten Island, NY 10304 | 2016-11-09 |
| 1407304835 | Esther Mitnick | Counselor | 285 Vanderbilt Avenue, State Island, NY 10304 | 2016-09-14 |
| Find all providers in zip 10304 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740892421 | Total Cure Pt PC | Clinic/Center | 620 Bloomingdale Rd, Staten Island, NY 10309-2028 | 2020-08-23 |
| 1215550363 | Target Physical Therapy PC | Clinic/Center | 483 Ingram Ave, Staten Island, NY 10314-4414 | 2020-05-24 |
| 1205337300 | Ryan Dinneny | Clinic/Center | 19 Emmet Ave, Staten Island, NY 10306-2719 | 2018-02-23 |
| 1730699448 | Therapy Masters, LLC | Clinic/Center | 1434 Forest Hill Rd, Staten Island, NY 10314-6318 | 2017-10-08 |
| 1205358025 | Big City Physical Therapy, Pllc | Clinic/Center | 3202 Morley Ave, Staten Island, NY 10306-1906 | 2017-07-13 |
| 1821474263 | M.e.p.t. Physical Therapy, P.C. | Clinic/Center | 322 Lathrop Ave, Staten Island, NY 10302-2532 | 2015-08-07 |
| 1689051260 | Precious Movements Physical Therapy, P.C. | Clinic/Center | 1592 Richmond Ave, Staten Island, NY 10314-1529 | 2015-05-02 |
| 1528179306 | Richard P Orsini | Clinic/Center | 104 Amaron Ln, Staten Island, NY 10307-1963 | 2006-08-31 |
| 1255442034 | Larry Codner | Clinic/Center | 116 Hampton Grn, Staten Island, NY 10312-1739 | 2006-08-31 |
| 1336257732 | Richmond Physical Therapy Rehabilitation PC | Clinic/Center | 70 New Dorp Plz S, Staten Island, NY 10306-2920 | 2006-08-26 |
| Find all providers in STATEN ISLAND | ||||
| City | STATEN ISLAND |
| Zip Code | 10304 |
Please comment or provide details below to improve the information on LUGO COMPREHENSIVE PT SERVICES.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.