Organization Active NPI

Cynergy Upper Extremity Physical and Occupational Therapy, PLLC

  • Occupational Therapist
  • New York, NY
National Provider Identifier
1235590027
Registry record updated Mar 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
CYNERGY UPPER EXTREMITY PHYSICAL AND OCCUPATIONAL THERAPY, PLLC
Practice address
485 Madison Ave
8TH Floor
New York, NY 10022-5803
Phone
(212) 980-2963
Fax
(646) 858-1858
NPI assigned
Mar 8, 2016
Last updated
Mar 8, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2016

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

Authorized official

Name
Cynthia Gormezano
Title
President
Phone
(917) 680-2783

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X
Occupational Therapist 225X00000X Primary

Addresses

Primary practice location

485 Madison Ave
8TH Floor
New York, NY 10022-5803

Mailing address

485 Madison Ave
8TH Floor
New York, NY 10022-5803
Phone (212) 980-2963

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20160505000502 NY Part B Supplier - Physical/Occupational Therapy Group in Private Practice 7810296316 Receives reassigned benefits from 5 practitioners
Practice locations: New York, NY; Brooklyn, NY
O20170208001685 NY DME Supplier - Independently-Practicing Physical TherapistDME Supplier - Independently-Practicing Occupational Therapist 7810296316 Practice locations: New York, NY

National Provider Directory

National Provider Directory

Locations

111 Broadway
Rm 1801
New York, NY 10006
Phone (212) 292-7145

119 W 57th St
Ste 600
New York, NY 10019
Phone (212) 974-7252

177 E 87th St
New York, NY 10128
Phone (212) 292-7117

317 E 34th St
Fl 3
New York, NY 10016
Phone (212) 725-6300

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1457395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457395200000",
    "number": "1235590027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "485 MADISON AVE",
            "address_2": "8TH FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100225803",
            "telephone_number": "212-980-2963",
            "fax_number": "646-858-1858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "485 MADISON AVE",
            "address_2": "8TH FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100225803",
            "telephone_number": "212-980-2963",
            "fax_number": "646-858-1858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CYNERGY UPPER EXTREMITY PHYSICAL AND OCCUPATIONAL THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-08",
        "last_updated": "2016-03-08",
        "status": "A",
        "authorized_official_last_name": "GORMEZANO",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-680-2783"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "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 Mar 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.