SEDRIC CASUPANG (NPI# 1730410663) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730410663 |
| Entity Type | Individual |
| Full Name | SEDRIC CASUPANG |
| Credential | P.T. |
| Practice Address |
10509 Jamaica Ave Richmond Hill NY 11418-2014 |
| Practice Telephone | 7184413211 |
| Practice Fax Number | 7184413744 |
| Mailing Telephone | 7184413211 |
| Mailing Fax Number | 7184413744 |
| Enumeration Date | 2010-01-15 |
| Last Update Date | 2011-11-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 031206-1 | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | LICENSE NUMBER | 031206-1 | 01 |
| Street Address |
10509 JAMAICA AVE |
| City | RICHMOND HILL |
| State | NY |
| Zip Code | 11418-2014 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083639579 | Miriam Kanter | Physical Medicine & Rehabilitation | 10509 Jamaica Ave, Richmond Hill, NY 11418-2014 | 2006-07-13 |
| 1003296773 | Aaditya Vaidya | Physical Therapist | 10509 Jamaica Ave, Richmond Hill, NY 11418-2014 | 2015-06-08 |
| 1811312358 | Joanne Rize Gallart | Physical Therapist | 10509 Jamaica Ave, Richmond Hill, NY 11418-2014 | 2014-02-20 |
| 1417214966 | Kanter Physical Medicine & Rehab PC | Physical Medicine & Rehabilitation | 10509 Jamaica Ave, Richmond Hill, NY 11418-2014 | 2012-04-20 |
| 1316250475 | Kenneth Jameson | Physician Assistant | 10509 Jamaica Ave, Richmond Hill, NY 11418-2014 | 2010-07-19 |
| 1871757203 | Sara Ghaytanchi | Physician Assistant | 10509 Jamaica Ave, Richmond Hill, NY 11418-2014 | 2008-07-15 |
| 1336318419 | Ali Mustafa | Chiropractor | 10509 Jamaica Ave, Richmond Hill, NY 11418-2014 | 2008-02-22 |
| 1790837417 | Lisa R George | Chiropractor | 10509 Jamaica Ave, Richmond Hill, NY 11418-2014 | 2007-01-16 |
| 1346339603 | Nitin Narkhede | Family Medicine | 10509 Jamaica Ave, Richmond Hill, NY 11418-2014 | 2006-10-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831727494 | Beatrice Oluyemisi Owoeye | Social Worker | Jamaica Medical Center, 8900 Van Wyck Express, Jamaica, NY 11418 | 2020-03-30 |
| 1023648763 | Annette Karabolli | Specialist | 134-11 Richmond Hills, Queens, NY 11418 | 2020-01-22 |
| 1447801899 | Elina Babayeva | Occupational Therapist | 85-60 109th Street, Richmond Hill, NY 11418 | 2019-09-26 |
| 1962979351 | David Gelin | Nurse Practitioner | 134-20 87th Ave, 7f, Richmond Hill, NY 11418 | 2018-10-24 |
| 1598257339 | Levi Yechiel Grosser | Student in an Organized Health Care Education/Training Program | 134-20 Jamaica Ave, 3rd Floor Axel Building, Jamaica, NY 11418 | 2018-06-06 |
| 1124519590 | George Jonathan Deannuntis | Pharmacist | 101-21 Jamaica Ave, Richmond Hill, NY 11418 | 2018-05-22 |
| 1720583545 | Priya Katwala | Student in an Organized Health Care Education/Training Program | 8900 Van Wyvk Expy, Richmond Hill, NY 11418 | 2018-03-25 |
| 1851817670 | Lawrence Keke Luo | Chiropractor | 105-09 Jamaica Avenue, Richmond Hill, NY 11418 | 2017-08-15 |
| 1346779162 | Priya Pathadan | Nurse Practitioner | 8900 Vanwyck Expressway, Jamaica Hospital Medical Center -nicu, Jamaica, NY 11418 | 2017-06-06 |
| 1134654049 | Wqg Physical Therapy PC | Physical Therapist | 87-60 125th St, Richmond Hill, NY 11418 | 2017-04-28 |
| Find all providers in zip 11418 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598225534 | Takara N Harris | Specialist | 3766 Us Highway 17 Ste 102, Richmond Hill, GA 31324-8872 | 2019-03-25 |
| 1144712308 | Kathleen Reyes | Specialist | 12911 Jamaica Ave Apt 1r, Richmond Hill, NY 11418-2693 | 2018-06-04 |
| 1588170427 | Paul Desir | Specialist | 9124 117th St, Richmond Hill, NY 11418-3113 | 2017-12-14 |
| 1073974549 | Stephanie Lopez | Specialist | 9105 118th St, Richmond Hill, NY 11418-3132 | 2016-03-11 |
| 1477930998 | Johanna Hernandez | Specialist | 8767 113th St, Richmond Hill, NY 11418-2437 | 2015-05-05 |
| 1407240617 | Shaina Dupuy | Specialist | 8743 110th St Apt 2, Richmond Hill, NY 11418-2308 | 2015-03-25 |
| 1922424720 | Maria Sobeida Vicioso | Specialist | 10231 92nd Ave, Richmond Hill, NY 11418-2906 | 2014-03-17 |
| 1114357464 | Paysach J Krohn | Specialist | 11709 85th Ave, Richmond Hill, NY 11418-1804 | 2013-11-24 |
| 1922435429 | Richmond Hill Sleep Center Inc | Specialist | 8715 115th St, Richmond Hill, NY 11418-2410 | 2013-09-30 |
| 1255695193 | Carlos Castillo | Specialist | 13111 Kew Gardens Rd Apt 4c, Richmond Hill, NY 11418-1941 | 2012-06-26 |
| Find all providers in RICHMOND HILL | ||||
| City | RICHMOND HILL |
| Zip Code | 11418 |
Please comment or provide details below to improve the information on SEDRIC CASUPANG.
| 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.