Active NPI
Jennifer C Esmade, R.P.T.
- Physical Therapist
- Forest Hills, NY
National Provider Identifier
1003973819
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 020079
- Practice address
- 6915 Austin St
Forest Hills, NY 11375-4238 - Phone
- (718) 575-0300
- Fax
- (718) 575-3559
- NPI assigned
- Jan 2, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 020079 | NY | Primary |
Addresses
Primary practice location
6915 Austin St
Forest Hills, NY 11375-4238
Mailing address
1356 E 100TH St
2 Floor
Brooklyn, NY 11236-5326
Phone (347) 312-5556
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 020079 | Other | NY | STATE LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6915 Austin St
Forest Hills, NY 11375-4255
Phone (718) 263-3500
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Queens Medical Pavilion,LLC | Physical Therapist | Current | Accepting new patients |
Locations
6915 Austin St
Forest Hills, NY 11375
Phone (718) 263-3500
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Forest Hills, NY
- NPI 1124384136
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1003973819",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1356 E 100TH ST",
"address_2": "2 FLOOR",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112365326",
"telephone_number": "347-312-5556"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6915 AUSTIN ST",
"city": "FOREST HILLS",
"state": "NY",
"postal_code": "113754238",
"telephone_number": "718-575-0300",
"fax_number": "718-575-3559"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ESMADE",
"first_name": "JENNIFER",
"middle_name": "C",
"credential": "R.P.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "020079",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "020079",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Forest Hills, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.