BORO WELLNESS LLC (NPI# 1942780317) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942780317 |
| Entity Type | Organization |
| Organization Name | BORO WELLNESS LLC |
| Practice Address |
4909 Fort Hamilton Pkwy Brooklyn NY 11219-3386 |
| Practice Telephone | 3478201495 |
| Mailing Telephone | 3478201495 |
| Enumeration Date | 2018-08-15 |
| Last Update Date | 2018-08-15 |
| Authorized Official Name | MR. RONALD BUENAGUA RUSTIA (PHYSICAL THERAPIST) |
| Authorized Official Telephone | 3478201495 |
| Authorized Official Credential | PT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
022584 | NY | Ambulatory Health Care Facilities |
| Street Address |
4909 FORT HAMILTON PKWY |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11219-3386 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831258086 | Elizabeth Morehouse | Occupational Therapist | 4909 Fort Hamilton Pkwy, Brooklyn, NY 11219-3372 | 2006-12-06 |
| 1073965794 | Lynn Bassini Certified Hand Therapy Ot, P.C. | Occupational Therapist | 4909 Fort Hamilton Pkwy, Brooklyn, NY 11219-3386 | 2016-07-06 |
| 1942487376 | Rosemary Tedesco | Occupational Therapist | 4909 Fort Hamilton Pkwy, Brooklyn, NY 11219-3372 | 2008-01-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073127163 | Chava Bokchin | Registered Nurse | 6200 15th Avenue, Brooklyn, NY 11219 | 2020-09-04 |
| 1164033643 | Debbie Evadne Evans-wright | Nurse Practitioner | 979 48th Street, Brooklyn, NY 11219 | 2020-08-10 |
| 1528614559 | Jonathan Benjamin Goldstein | Specialist | Yeled Vyalda 1312 38 Street, Brooklyn, NY 11219 | 2019-08-15 |
| 1235782301 | Vanessa Walton | Social Worker | 4012 New Utrecht Avenue, Apt 1, Brooklyn, NY 11219 | 2019-07-18 |
| 1083184618 | Sandra Murray | Licensed Practical Nurse | 6321 New Utrecht Avenue Second Floor, Brooklyn, NY 11219 | 2018-11-27 |
| 1023588746 | Wanipa Muwowo-nwade | Physician Assistant | 4802 10th Ave Rm 301, Brooklyn, NY 11219 | 2018-11-26 |
| 1366919896 | Evelin Ponce | Licensed Practical Nurse | 6321 New Utrecht Avenue, Second Floor, Brooklyn, NY 11219 | 2018-11-02 |
| 1083180301 | Yefim Simkhayev | Occupational Therapist | 1317 52nd St, Brooklyn, NY 11219 | 2018-10-15 |
| 1598240186 | F & D Pharmacy Inc | Pharmacy | 5504 -13 Ave, Brooklyn, NY 11219 | 2018-09-28 |
| 1245737469 | Yekaterina Joltikov | Student in an Organized Health Care Education/Training Program | Miamonides Medical Center, 4802 10th Ave, Brooklyn, NY 11219 | 2018-04-13 |
| Find all providers in zip 11219 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982202404 | Mobility Health Physical Therapy | Clinic/Center | 10545 Avenue M, Brooklyn, NY 11236-4603 | 2020-10-16 |
| 1952917726 | Mauro Woods | Clinic/Center | 974 Greene Ave Apt 4a, Brooklyn, NY 11221-6313 | 2020-09-17 |
| 1003430018 | Kenefick Physical Therapy Pllc | Clinic/Center | 112 Noel Ave, Brooklyn, NY 11229-6421 | 2020-06-05 |
| 1740742097 | Tara Knutsen, Pt, P.C. | Clinic/Center | 346 Senator St, Brooklyn, NY 11220-5311 | 2019-04-04 |
| 1386106128 | Standard Care P.t. P.C. | Clinic/Center | 333 Greene Ave # Store339, Brooklyn, NY 11238-2295 | 2019-04-02 |
| 1467937961 | Metropolis Physical Therapy Pllc | Clinic/Center | 585 Bushwick Ave, Brooklyn, NY 11206-4628 | 2018-10-01 |
| 1194217216 | Kambiz Raoufian Physical Therapy Pllc | Clinic/Center | 2176 New York Ave, Brooklyn, NY 11210 | 2018-06-04 |
| 1427584630 | Equinox Physical Therapy, PC | Clinic/Center | 407 Rockaway Avenue, 2nd Floor, Brooklyn, NY 11212 | 2017-05-08 |
| 1588195408 | Spring Rehab Pt, PC. | Clinic/Center | 8881 24th Ave, 2nd Fl, Brooklyn, NY 11214-6501 | 2017-03-22 |
| 1053859207 | American Medical Company | Clinic/Center | 1671 W 10th St, Brooklyn, NY 11223-1104 | 2017-02-08 |
| Find all providers in BROOKLYN | ||||
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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.