Individual provider Active NPI

Nenita Hipolito Pescador II

  • Physical Therapist
  • New York, NY
National Provider Identifier
1073337903
Registry record updated Nov 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
031147 Issued in NY
Practice address
1345 Avenue of the Americas FL 2
New York, NY 10105-0008
Phone
(212) 981-1977
Fax
(646) 786-4026
NPI assigned
Nov 7, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 031147 NY Primary

Addresses

Primary practice location

1345 Avenue of the Americas FL 2
New York, NY 10105-0008

Mailing address

1345 Avenue of the Americas FL 2
New York, NY 10105-0008
Phone (212) 981-1977

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
031147NYMDOrthotic Fitter

NPI Registry JSON

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

{
    "created_epoch": "1730937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730937600000",
    "number": "1073337903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1345 AVENUE OF THE AMERICAS FL 2",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101050008",
            "telephone_number": "212-981-1977",
            "fax_number": "646-786-4026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1345 AVENUE OF THE AMERICAS FL 2",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101050008",
            "telephone_number": "212-981-1977",
            "fax_number": "646-786-4026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PESCADOR",
        "first_name": "NENITA",
        "middle_name": "HIPOLITO",
        "name_prefix": "Mrs.",
        "name_suffix": "II",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-07",
        "last_updated": "2024-11-07",
        "certification_date": "2024-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "031147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 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.