Charmaine Tarca Geronimo

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

041826-01 Issued in NY

Practice address

2918 Avenue M
Brooklyn, NY 11210-4617

Phone

(718) 252-0625

NPI assigned

Jan 25, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2019

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Glenn Harris Goldfinger, PT

  • Physical Therapist
  • New York, NY
  • NPI 1366470213
  Medicare reassignment

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

{
    "created_epoch": "1674604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674604800000",
    "number": "1104532977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2918 AVENUE M",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112104617",
            "telephone_number": "718-252-0625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2918 AVENUE M",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112104617",
            "telephone_number": "718-252-0625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERONIMO",
        "first_name": "CHARMAINE",
        "middle_name": "TARCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-25",
        "last_updated": "2023-01-25",
        "certification_date": "2023-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "041826-01",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVER'S LICENSE",
            "identifier": "N0119036225",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Adela Gerolemou, DO
• Louis N Gerolemou, DO
• Jennifer Anne Gerometta-Grimes, SLP
• Anthony Joseph Gerone, C.A.S.A.C.
• Gina Gerone
• Christie E. Gerou, LMSW
• Alexandra Gerovich, CSW
• Michelle Gerovich
• Yevgeniy Gerovich
• Marina Gerr, PHARMD

• Physical Therapist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2023; 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.

Verify at the official NPI Registry.