Generation Nextwave is a
Physical Therapist based in Great River, New York. Generation Nextwave is licensed to practice in New York (license number 018199-1) and their current practice location is
41 Church Rd, Great River, New York. It can be reached at their office (for appointments etc.) via phone at
(631) 921-1277.
NPI number for Generation Nextwave is 1578837563 and their current mailing address is Po Box 799, Great River, New York. Generation Nextwave
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1578837563.
Healthcare Provider's Profile
| Full Name | Generation Nextwave |
|---|
| Type | Facility |
|---|
| Speciality | Physical Therapist |
|---|
| Location | 41 Church Rd, Great River, New York |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1578837563
- Provider Enumeration Date: 03/08/2012
- Last Update Date: 03/08/2012
Medical Identifiers
Medical identifiers for Generation Nextwave such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1578837563 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225100000X | Physical Therapist | 018199-1 (New York) | Primary |
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. Generation Nextwave is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Generation Nextwave
Po Box 799,
Great River, NY 11739-0799
Ph: (631) 921-1277 | Generation Nextwave
41 Church Rd,
Great River, NY 11739-3023
Ph: (631) 921-1277 |
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