Individual provider Active NPI

Natalia Pertuzyustes

  • Physical Medicine & Rehabilitation Physician
  • Astoria, NY
National Provider Identifier
1245976927
Registry record updated May 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
1007478 Issued in NY
Practice address
3101 Vernon Blvd Apt 306
Astoria, NY 11106-4872
Phone
(917) 937-8368
NPI assigned
May 6, 2022
Last updated
May 6, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 6, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 1007478 NY Primary

Addresses

Primary practice location

3101 Vernon Blvd Apt 306
Astoria, NY 11106-4872

Mailing address

3101 Vernon Blvd Apt 306
Astoria, NY 11106-4872
Phone (917) 937-8368

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
1007478NYMDPhysical Medicine & Rehabilitation Physician

NPI Registry JSON

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

{
    "created_epoch": "1651795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651795200000",
    "number": "1245976927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3101 VERNON BLVD APT 306",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111064872",
            "telephone_number": "917-937-8368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 VERNON BLVD APT 306",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111064872",
            "telephone_number": "917-937-8368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERTUZYUSTES",
        "first_name": "NATALIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-06",
        "last_updated": "2022-05-06",
        "certification_date": "2022-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "1007478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Astoria, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2022; 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.