Individual provider Active NPI

Maria Nerisa Magbojos Baltazar, PT

  • Physical Therapist
  • New York, NY
National Provider Identifier
1154836856
Registry record updated Dec 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
040501 Issued in NY
Practice address
32 Union SQ E
New York, NY 10003-3209
Phone
(212) 677-3989
NPI assigned
Dec 5, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X
Physical Therapist 225100000X 040501 NY Primary

Addresses

Primary practice location

32 Union SQ E
New York, NY 10003-3209

Mailing address

6120 Woodside Ave Apt 2V
Woodside, NY 11377-3522
Phone (929) 250-6634

Other practice location 1

2071 Merrick Rd
Merrick, NY 11566-4749
Phone (516) 868-7746

Other practice location 2

33 Font Street
Suite 106
Hempstead, NY 11550
Phone (516) 292-2800

Other names 1

  • Maria Nerisa Caringal Magbojos Former name

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

LicenseStateTypeSpecialty
040501NYMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew patients
Rehab Synergy PT, PC. Physical Therapist PastSince Jan 1, 2016 Accepting new patients
Lakeview Chiropractic, P.C. PastSince Dec 2, 2015 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1512432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545782400000",
    "number": "1154836856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6120 WOODSIDE AVE APT 2V",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "113773522",
            "telephone_number": "929-250-6634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 UNION SQ E",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100033209",
            "telephone_number": "212-677-3989"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2071 Merrick Rd",
            "address_purpose": "LOCATION",
            "city": "Merrick",
            "state": "NY",
            "postal_code": "115664749",
            "country_code": "US",
            "telephone_number": "516-868-7746",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "33 Font Street",
            "address_2": "Suite 106",
            "address_purpose": "LOCATION",
            "city": "Hempstead",
            "state": "NY",
            "postal_code": "11550",
            "country_code": "US",
            "telephone_number": "516-292-2800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BALTAZAR",
        "first_name": "MARIA NERISA",
        "middle_name": "MAGBOJOS",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-05",
        "last_updated": "2018-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "040501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIA NERISA",
            "last_name": "MAGBOJOS",
            "middle_name": "CARINGAL",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Dec 26, 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.