Aresio Souza, PT, MS, CIE, AEP

Primary specialty

Ergonomics Physical TherapistTaxonomy code 2251E1200X

License

038760-1 Issued in NY

Practice address

112 Booraem Ave # 2
Jersey City, NJ 07307-2404

Phone

(917) 574-4931

NPI assigned

Nov 1, 2018

Last updated

Nov 1, 2018By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Genesis Medical Health PC

  • General Practice Physician
  • Spring Valley, NY
  • NPI 1295043099

  Single Specialty

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1541030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541030400000",
    "number": "1023585510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 BOORAEM AVE # 2",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073072404",
            "telephone_number": "917-574-4931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 BOORAEM AVE # 2",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073072404",
            "telephone_number": "917-574-4931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOUZA",
        "first_name": "ARESIO",
        "name_prefix": "Mr.",
        "credential": "PT, MS, CIE, AEP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-11-01",
        "last_updated": "2018-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251E1200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Ergonomics",
            "state": "NY",
            "license": "038760-1",
            "primary": true
        },
        {
            "code": "2251H1300X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Human Factors",
            "state": "NY",
            "license": "038760-1",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NY",
            "license": "038760-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonathan A Sorkin, DPM
• Jessica Sosa
• Margaret Sosa, APN
• Kristynna Soto-Vaughan, MA, BCBA, LBA
• Jennifer Sotto, RN IBCLC
• Sovereign Medical Group LLC (Jersey City Radiation Therapy LLC)
• Sovereign Medical Group, LLC
• Sosana Noshi Sowiha, PHARMD
• Fnu Soxi, M.D.
• Sara Soyeju, RDN

• Physical Therapist in Jersey City, NJ
• Providers in Jersey City, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.