Active NPI
Nemesio Cruz Felix Jr., PT
- Physical Therapist
- Staten Island, NY
National Provider Identifier
1023273240
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 016967-1
- Practice address
- 4870 Hylan Boulevard
South Shore Si Physical Therapy
Staten Island, NY 10312 - Phone
- (718) 227-0198
- Fax
- (718) 948-0772
- NPI assigned
- Jul 28, 2008
- Sex
- Male
- Sole proprietor
- No
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 | 016967-1 | NY | Primary |
Addresses
Primary practice location
4870 Hylan Boulevard
South Shore Si Physical Therapy
Staten Island, NY 10312
Mailing address
4870 Hylan Boulevard
South Shore Si Physical Therapy
Staten Island, NY 10312
Phone (718) 227-0198
Other names 1
- Felix Nemesio Cruz Jr.
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 016967-1 | NY | MD | Physical Therapist |
| 016967 | NY | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217203200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1241740800000",
"number": "1023273240",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4870 HYLAN BOULEVARD",
"address_2": "SOUTH SHORE SI PHYSICAL THERAPY",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "10312",
"telephone_number": "718-227-0198",
"fax_number": "718-948-0772"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4870 HYLAN BOULEVARD",
"address_2": "SOUTH SHORE SI PHYSICAL THERAPY",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "10312",
"telephone_number": "718-227-0198",
"fax_number": "718-948-0772"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FELIX",
"first_name": "NEMESIO",
"middle_name": "CRUZ",
"name_suffix": "Jr.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-07-28",
"last_updated": "2009-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "016967-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "FELIX",
"last_name": "CRUZ",
"middle_name": "NEMESIO",
"suffix": "JR.",
"credential": "PT",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Staten Island, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.