Mr Darryl Baroja Altea, DPT is a medicare enrolled "Physical Medicine & Rehabilitation" physician in Ridgewood, New York. His current practice location is
6442 Woodbine St, Ridgewood, New York. You can reach out to his office (for appointments etc.) via phone at
(484) 320-0368.
Mr Darryl Baroja Altea is licensed to practice in New York (license number 041325) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1194309195.
Physician's Profile
Full Name | Mr Darryl Baroja Altea |
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Gender | Male |
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Speciality | Physical Medicine & Rehabilitation |
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Location | 6442 Woodbine St, Ridgewood, New York |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1194309195
- Provider Enumeration Date: 05/06/2021
- Last Update Date: 04/21/2022
Medicare PECOS Information:
- PECOS PAC ID: 7012394372
- Enrollment ID: I20220507000030
Medical Identifiers
Medical identifiers for Mr Darryl Baroja Altea such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1194309195 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208100000X | Physical Medicine & Rehabilitation | 041325 (New York) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mr Darryl Baroja Altea allows following entities to bill medicare on his behalf.
Entity Name | Sports Physical Therapy Occupational Therapy And Rehabilitation Servic |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1770540593 PECOS PAC ID: 0446140446 Enrollment ID: O20040315001603 |
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Entity Name | Fresh Pond Physical Therapy, P.c. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1508844036 PECOS PAC ID: 4486605342 Enrollment ID: O20050208000670 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Darryl Baroja Altea is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mr Darryl Baroja Altea, DPT 6442 Woodbine St, Ridgewood, NY 11385-4654 Ph: (484) 320-0368 | Mr Darryl Baroja Altea, DPT 6442 Woodbine St, Ridgewood, NY 11385-4654 Ph: (484) 320-0368 |
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