Emmanuel Anthony Euceda

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

014477 Issued in NY

Practice address

141 Mark Tree Rd
Centereach, NY 11720-2221

Phone

(631) 467-4235

NPI assigned

Nov 6, 2024

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1730851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730851200000",
    "number": "1033932165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 CALIFORNIA AVE",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117064547",
            "telephone_number": "631-480-7278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 MARK TREE RD",
            "city": "CENTEREACH",
            "state": "NY",
            "postal_code": "117202221",
            "telephone_number": "631-467-4235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EUCEDA",
        "first_name": "EMMANUEL",
        "middle_name": "ANTHONY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-11-06",
        "last_updated": "2024-11-06",
        "certification_date": "2024-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NY",
            "license": "014477",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric Spronz, Psychiatric Nurse Practitioner P.C.
• Luann Mongiello Esen, LCSW BCD
• Edna Espada, RN
• Lea T Esperance, MD
• Matt Esrick, PT, DPT,MBA,A-RSP
• Amber Fales, ACRN, NP
• Matthew Robert Fallon
• Patricia A Famighetti, LPN
• Lauren Farenga
• Christina Farias, M.S.

• Physical Therapy Assistant in Centereach, NY
• Providers in Centereach, NY by specialty
• Physical Therapy Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2024; 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.