1194804476 NPI number — MR. JAMES JOSEPH HUGHES BSPT,BSPE,CFTS

Table of content: MR. JAMES JOSEPH HUGHES BSPT,BSPE,CFTS (NPI 1194804476)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1194804476 NPI number — MR. JAMES JOSEPH HUGHES BSPT,BSPE,CFTS

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
HUGHES
Provider First Name:
JAMES
Provider Middle Name:
JOSEPH
Provider Name Prefix Text:
MR.
Provider Name Suffix Text:
Provider Credential Text:
BSPT,BSPE,CFTS
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1194804476
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
12/04/2017
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
115 MAIN ST
Provider Second Line Business Mailing Address:
SUITE#202
Provider Business Mailing Address City Name:
TUCKAHOE
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
10707-2948
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
914-961-1010
Provider Business Mailing Address Fax Number:
914-961-1011

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
625 MCLEAN AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
YONKERS
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10705-4735
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
914-965-1435
Provider Business Practice Location Address Fax Number:
914-965-1836
Provider Enumeration Date:
11/06/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 225100000X , with the licence number:  40QA01754700 , registered in the state of NJ ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 225100000X , with the licence number: 015727-1 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 10475256 . This is a "CAQH" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 0401995 . This is a "US FAMILY-TUCKAHO" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 0401997 . This is a "US FAMILY HEALTH-ORTHONET MCLEAN AVENUE" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 0401997 . This is a "US FAMILY-ORTHONET- MCLEAN AVENUE" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 272438120 . This is a "ANTHEM BCBS OF NY-AXIOM PT & OT PLUS, GROUP" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 786980 . This is a "OPTUM HEALTH PT AXIOM GRP/FACILIY" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 03282455 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 272438120 . This is a "HUDSON HEALTH PLAN AXIOM GRP/FACILITY" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 272438129001 . This is a "HEALTHFIRST NY- AXIOM PT & OT PLUS, LLC-GROUP" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 272438120 . This is a "MULTI-PLAN" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 2343974 . This is a "HUMANA- ALL COMMERCIAL LINES OF BUSINESS" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 786980 . This is a "OPTUM PHYSICAL THERAPY UHC-FACILITY" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 2343974 . This is a "HUMANA" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: CFTS1776 . This is a "AMERICAN BOARD OF ORTHOTICS,PROSTHETICS AND PEDORTHICS, INC" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 0401997 . This is a "AETNA-ORTHONET MCLEAN AVENUE" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 0401997 . This is a "CIGNA GWEST/ORTHONET MCLEAN AVENUE" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 272438120 . This is a "POMCO- AXIOM PT/OT PLUS" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 809666 . This is a "OPTUM PHYSICAL THERAPY-OXFORD HEALTH -CHILD/FREEDOM/FAMILY/LIBERTY" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".




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