Justin Chaback (NPI# 1275004806, PAC ID# 4082950787) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1275004806 |
| PAC ID by PECOS | 4082950787 |
| Professional Enrollment ID | I20190117001928 |
| Full Name | Justin Chaback |
| Organization Legal Name | ADVANCED SPORTS PHYSICAL AND ORTHOPEDIC REHABILITATIVE THERAPY SERVICE |
| Address |
17660 Union Tpke Suite 195 Fresh Meadows NY 11366-1538 |
| Phone Number | 7188209300 |
| Gender | M |
| Graduation Year | 2018 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 4688632979 |
| Number of Group Practice Members | 8 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 17660 Union Tpke, Suite 195, Fresh Meadows, NY 11366-1538 | 7188209300 | ADVANCED SPORTS PHYSICAL AND ORTHOPEDIC REHABILITATIVE THERAPY SERVICE |
| Organization Legal Name | ADVANCED SPORTS PHYSICAL AND ORTHOPEDIC REHABILITATIVE THERAPY SERVICE |
| Physicians | 7 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Paul Joseph Kropas | Physical Therapy | Advanced Sports Physical and Orthopedic Rehabilitative Therapy Service | 163 New Hyde Park Rd, Franklin Square, NY 11010-3045 |
| Joseph P Capobianco | Physical Therapy | Advanced Sports Physical and Orthopedic Rehabilitative Therapy Service | 163 New Hyde Park Rd, Franklin Square, NY 11010-3045 |
| Gilberto A Diaz | Physical Therapy | Advanced Sports Physical and Orthopedic Rehabilitative Therapy Service | 163 New Hyde Park Rd, Franklin Square, NY 11010-3045 |
| Aiysha R Glenn-bradby | Physical Therapy | Advanced Sports Physical and Orthopedic Rehabilitative Therapy Service | 163 New Hyde Park Rd, Franklin Square, NY 11010-3045 |
| Stephanie Daniella O'brien | Physical Therapy | Advanced Sports Physical and Orthopedic Rehabilitative Therapy Service | 17660 Union Tpke, Suite 195, Fresh Meadows, NY 11366-1538 |
| Jean Marie Quinn | Physical Therapy | Advanced Sports Physical and Orthopedic Rehabilitative Therapy Service | 163 New Hyde Park Rd, Franklin Square, NY 11010-3045 |
| Street Address |
17660 UNION TPKE SUITE 195 |
| City | FRESH MEADOWS |
| State | NY |
| Zip | 11366-1538 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Leslie D Cunningham | Vascular Surgery | American Access Care Physician Pllc | 17660 Union Tpke, Suite 130, Flushing, NY 11366-1531 |
| Ya-tseng William Lu | Anesthesiology | 17660 Union Tpke, Suite 130, Flushing, NY 11366-1531 | |
| Ogonna K Nwawka | Diagnostic Radiology | Ny Society for The Relief of The Ruptured and Crippled | 17660 Union Tpke, Suite 190, Fresh Meadows, NY 11366-1538 |
| Osric S. King | Sports Medicine | New York Society for The Relief of Ruptured and Crippled Maintaining | 17660 Union Tpke, Suite 190, Fresh Meadows, NY 11366-1538 |
| Birendra S Walia | Interventional Radiology | American Access Care Physician Pllc | 17660 Union Tpke, Suite 130, Flushing, NY 11366-1531 |
| Carlton B Barnswell | Urology | Metropolitan Lithotriptor Associates PC | 17660 Union Tpke, Suite 200, Fresh Meadows, NY 11366-1531 |
| Anthony J Ippolito | Anesthesiology | Metropolitan Lithotriptor Associates PC | 17660 Union Tpke, Suite 200, Fresh Meadows, NY 11366-1531 |
| Avram Abramowitz | Hematology/oncology | Queens Medical Associates PC | 17660 Union Tpke, Suite 360, Fresh Meadows, NY 11366-1531 |
| Kevin R Math | Diagnostic Radiology | Ny Society for The Relief of The Ruptured and Crippled | 17660 Union Tpke, Suite 190, Fresh Meadows, NY 11366-1538 |
| Gabriel H Jung | Hematology/oncology | Queens Medical Associates PC | 17660 Union Tpke, Suite 360, Fresh Meadows, NY 11366-1531 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Arun Arora | Critical Care (intensivists) | 76 -04, Flushing, NY 11366 | |
| David M Abrams | Psychologist, Clinical | Supportive Care Psychology of Ny PC | 7810 164th St, Fresh Meadows, NY 11366-1229 |
| Howard J Rosenberg | Psychologist, Clinical | Supportive Care Psychology of Ny PC | 7810 164th St, Fresh Meadows, NY 11366-1229 |
| Carole J. Kotler | Clinical Social Worker | Enhanced Psychological Care PC | 7810 164th St, Fresh Meadows, NY 11366-1229 |
| Mark M Moradi | Gynecological Oncology | 200 -20, Bayside, NY 11366-1255 | |
| Joseph T Bumatay | Otolaryngology | 16918 Union Tpke, Flushing, NY 11366-1314 | |
| Leslie Ann Seiden | Registered Dietitian Or Nutrition Professional | 7318 167th St, Flushing, NY 11366-1325 | |
| Jing J Cai | Optometry | 7305 168th St, Fresh Meadows, NY 11366-1330 | |
| Salima Alwani | Internal Medicine | 7667 174th St, Fresh Meadows, NY 11366-1412 | |
| Sanford A Schwartz | Psychologist, Clinical | 175 02, Flushing, NY 11366-1502 | |
| Find all physicians in zip 11366 | |||
| City | FRESH MEADOWS |
| Zip Code | 11366 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | FRESH MEADOWS + PHYSICAL THERAPY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.