LONG ISLAND BALANCE AND VESTIBULAR PT (NPI# 1790890622) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790890622 |
| Entity Type | Organization |
| Organization Name | LONG ISLAND BALANCE AND VESTIBULAR PT |
| Practice Address |
732 Smithtown Byp Suite 102a Smithtown NY 11787-5020 |
| Mailing Address |
154 Jackson Ave S Saint James NY 11780-2833 |
| Practice Telephone | 6317245433 |
| Practice Fax Number | 6317245478 |
| Mailing Telephone | 6315843145 |
| Mailing Fax Number | 6317245478 |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. JAMES MEGNA (OWNER) |
| Authorized Official Telephone | 6317245433 |
| Authorized Official Credential | PT, NCS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251N0400X |
Physical Therapist Specialization: Neurology |
010950-1 | NY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
732 SMITHTOWN BYP SUITE 102A |
| City | SMITHTOWN |
| State | NY |
| Zip Code | 11787-5020 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114936291 | H E A R S Audiology P C | Audiologist | 732 Smithtown Byp, Suite 301, Smithtown, NY 11787-5020 | 2006-08-06 |
| 1992249346 | A.p. New York Comprehensive Medical Care PC | Internal Medicine | 732 Smithtown Byp, Suite 200, Smithtown, NY 11787-5020 | 2016-12-05 |
| 1124390695 | Rachelle Warren | Social Worker | 732 Smithtown Byp, Smithtown, NY 11787-5020 | 2012-01-31 |
| 1619200896 | Endocrine Associates of Long Island, PC | Internal Medicine | 732 Smithtown Byp, Suite 103, Smithtown, NY 11787-5020 | 2009-09-06 |
| 1548424039 | Adalbert Pilip | Internal Medicine | 732 Smithtown Byp, Suite 200, Smithtown, NY 11787-5020 | 2008-07-14 |
| 1023139045 | Evelyn Morales | Physician Assistant | 732 Smithtown Byp, Suite 303, Smithtown, NY 11787-5020 | 2007-04-03 |
| 1427100338 | Sinai Medical Associates PC | Internal Medicine | 732 Smithtown Byp, Suite 303, Smithtown, NY 11787-5020 | 2007-01-18 |
| 1922177419 | Li Complementary & Family Medical Care, P.C. | Family Medicine | 732 Smithtown Byp, Suite A51, Smithtown, NY 11787-5020 | 2006-11-07 |
| 1972680775 | Raghda Dabbagh | Internal Medicine | 732 Smithtown Byp, Suite 303, Smithtown, NY 11787-5020 | 2006-11-01 |
| 1063425353 | Kathleen Page | Audiologist | 732 Smithtown Byp, Suite 301, Smithtown, NY 11787-5020 | 2006-08-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558962779 | Gwendolyn Burris | Counselor | 20 Gilbert Avenue, Suite 107-a, Smithtown, NY 11787 | 2020-11-04 |
| 1467051193 | Karin M Caro | Adult Companion | 9 Three Pond Road, Smithtown, NY 11787 | 2020-10-23 |
| 1639706641 | Nimit Khara | Student in an Organized Health Care Education/Training Program | 240 Middle Country Rd A, Smithtown, NY 11787 | 2020-03-27 |
| 1003469032 | Maria Teresa Gardella | Nurse Practitioner | St. Catherine of Siena Medical Center, 50 Ny-25a, Smithtown, NY 11787 | 2019-07-18 |
| 1558922070 | Pamella Ann Grillo | Physician Assistant | 373 Ny-111 #5, Smithtown, NY 11787 | 2019-06-25 |
| 1306308127 | Sherry Hansen | Social Worker | 285 Middle Country Rd, Suite Ll5, Smithtown, NY 11787 | 2019-04-01 |
| 1932663747 | Kayla Roundsman | Counselor | 11 Route 11, Smithtown, NY 11787 | 2019-01-25 |
| 1568959856 | Moreen Johnson | Registered Nurse | Christian Nursing Registry, 17 Bank Ave, Smith Town, NY 11787 | 2018-04-23 |
| 1992217871 | Erica Zeller Licensed Clinical Social Work Pllc | Social Worker | 15 Bellemeade Ave Ste 3, Smithtown, NY 11787 | 2017-10-31 |
| 1881117802 | Oisin Vincent Keenan | Case Manager/Care Coordinator | 11 Ny-111, Smithtown, NY 11787 | 2017-07-21 |
| Find all providers in zip 11787 | ||||
| Taxonomy Code | 2251N0400X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Neurology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578189767 | Lindsay Zanghi | Physical Therapist | 745 John Glenn Blvd, Webster, NY 14580-9109 | 2020-06-23 |
| 1891316139 | Shaina Flanzraich | Physical Therapist | 3237 1800 Walt Whitman Rd, 120, Melville, NY 11747 | 2020-04-28 |
| 1437707627 | Gianluca Alfonso Pugliese | Physical Therapist | 51-55 Rte 9w, West Haverstraw, NY 10993 | 2019-08-30 |
| 1346769858 | Raymond Shu | Physical Therapist | 2075 Sheridan Drive, Kenmore, NY 14223 | 2017-09-15 |
| 1639695398 | Modern Movement Physical Therapy, Pllc | Physical Therapist | 302 Bethel Ave, Staten Island, NY 10307-1360 | 2017-08-15 |
| 1073033957 | Namrata Deepesh Agarwal | Physical Therapist | 5920 Van Doren St, Flushing, NY 11368-4018 | 2017-06-22 |
| 1689947814 | Amy Grasso | Physical Therapist | 123 Patton Pl, Amherst, NY 14221-3757 | 2012-02-19 |
| 1285927780 | Sean Patrick Smith | Physical Therapist | 177 Abbey Street, Massapequa Park, NY 11762 | 2011-05-17 |
| 1538466487 | Matthew Battinelli | Physical Therapist | 330 Durant Ave, Staten Island, NY 10308-3030 | 2011-02-11 |
| 1487956603 | Aydin Yilmaz | Physical Therapist | 370 Ocean Pkwy, Apt4k, Brooklyn, NY 11218-4655 | 2010-11-19 |
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| 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.