Individual provider Active NPI

Ralph Waldo Cuartero, PT

  • Physical Therapist
  • Elmwood Park, NJ
National Provider Identifier
1265566103
Registry record updated Jan 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
30109 Issued in NY
Practice address
227 Market St
Suite 201
Elmwood Park, NJ 07407-2009
Phone
(201) 797-2554
Fax
(201) 797-2554
NPI assigned
Mar 15, 2007
Last updated
Jan 29, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 29, 2020

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Contractor 171W00000X 30109 NY
Physical Therapist 225100000X 40QA01319000 NJ
Physical Therapist 225100000X 30109 NY Primary
Geriatric Physical Therapist 2251G0304X 40QA01319000 NJ

Addresses

Primary practice location

227 Market St
Suite 201
Elmwood Park, NJ 07407-2009

Mailing address

PO Box 780173
Maspeth, NY 11378-0173
Phone (718) 509-9888

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20090915000126 NY Practitioner - Physical Therapist in Private Practice 2466508551 Reassigns benefits to 1 organization
I20220907002850 NJ Practitioner - Physical Therapist in Private Practice 2466508551 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Back to Action Physical Therapy LLCGroup PAC ID 5496139636, 2 clinicians

Practice addresses (Care Compare)

4626 White Plains Rd
Bronx, NY 10470-1610
Phone (718) 509-9888

701 State RT
440 Suite 21
Jersey City, NJ 07304-1069
Phone (718) 509-9888

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
30109NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Red Core PT Pta and Rehabilitation PLLC Physical Therapist CurrentSince Jan 1, 2020 Accepting new patients
Red Core Ptpta and Rehabilitation PLLC Physical Therapist CurrentSince Jan 1, 2020 Accepting new patients
All People's Diagnostic Medical Care, P.C. Past Accepting new patients
Maspeth Roura Medical Care PC Past Accepting new patients

Locations

4626 White Plains Rd
Bronx, NY 10470
Phone (718) 547-4077

1396 Myrtle Ave
Brooklyn, NY 11237
Phone (718) 878-4313

1722 Pitkin Ave
Brooklyn, NY 11212
Phone (929) 415-8856

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580256000000",
    "number": "1265566103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 780173",
            "city": "MASPETH",
            "state": "NY",
            "postal_code": "113780173",
            "telephone_number": "718-509-9888",
            "fax_number": "718-509-6144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "227 MARKET ST",
            "address_2": "SUITE 201",
            "city": "ELMWOOD PARK",
            "state": "NJ",
            "postal_code": "074072009",
            "telephone_number": "201-797-2554",
            "fax_number": "201-797-2554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUARTERO",
        "first_name": "RALPH",
        "middle_name": "WALDO",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-15",
        "last_updated": "2020-01-29",
        "certification_date": "2020-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "NY",
            "license": "30109",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01319000",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "30109",
            "primary": true
        },
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "NJ",
            "license": "40QA01319000",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmwood Park, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2020; 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.