Individual provider Active NPI

Sherwin Fernando Cristobal

  • Physical Therapist
  • Bronx, NY
National Provider Identifier
1194988188
Registry record updated Jul 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
028775-1 Issued in NY
Practice address
4645 White Plains Rd
Bronx, NY 10470-1612
Phone
(718) 515-5267
NPI assigned
Jul 9, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2008

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 028775-1 NY Primary

Addresses

Primary practice location

4645 White Plains Rd
Bronx, NY 10470-1612

Mailing address

4645 White Plains Rd
Bronx, NY 10470-1612
Phone (718) 515-5267

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091201000578 NY Practitioner - Physical Therapist in Private Practice 2769521970 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Park Physical Medicine and Rehabilitation P.C.Group PAC ID 1759294135, 9 clinicians

Practice addresses (Care Compare)

2825 3Rd Ave
Apt 4
Bronx, NY 10455-4068
Phone 2129571930111

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
028775-1NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Central Park Physical Medicine and Rehabilitation P.C. CurrentSince Apr 12, 2021 Accepting new patients

Locations

2825 3rd Ave
Apt 4
Bronx, NY 10455
Phone (212) 447-0300

10 E 39th St
Fl 3
New York, NY 10016
Phone (212) 447-0300

2 W 86th St
New York, NY 10024
Phone (212) 724-7050

10 E 39th St
New York, NY 10016
Phone (212) 447-0300

Organizations & group practices 1

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": "1215561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215561600000",
    "number": "1194988188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4645 WHITE PLAINS RD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104701612",
            "telephone_number": "718-515-5267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4645 WHITE PLAINS RD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104701612",
            "telephone_number": "718-515-5267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRISTOBAL",
        "first_name": "SHERWIN",
        "middle_name": "FERNANDO",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-09",
        "last_updated": "2008-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "028775-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2008; 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.