NPIMap

Organization Active NPI

Tamayo Physical Therapy P.C.

  • Physical Therapist
  • New York, NY
National Provider Identifier
1326299371
Registry record updated Sep 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
010519-1 Issued in NY
Legal business name
TAMAYO PHYSICAL THERAPY P.C.
Practice address
30 E 65TH St
Suite 4a
New York, NY 10065-7013
Phone
(212) 535-2621
NPI assigned
Oct 8, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2019

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

Authorized official

Name
Mrs. Gezel Tamayo Villanueva-Fischberg, MS, PTNPI 1144489840
Title
President
Phone
(646) 977-9548

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 010519-1 NY Primary

Addresses

Primary practice location

30 E 65TH St
Suite 4a
New York, NY 10065-7013

Mailing address

354 Russell Ave
Edgewater, NJ 07020-3133
Phone (646) 977-9548

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100222000501 NY Part B Supplier - Clinic/Group Practice 5890839369 Receives reassigned benefits from 13 practitioners
Practice locations: New York, NY

National Provider Directory

National Provider Directory

Locations

3 E 65th St
Apt 4A
New York, NY 10065
Phone (212) 535-2621

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1223424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569283200000",
    "number": "1326299371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "354 RUSSELL AVE",
            "city": "EDGEWATER",
            "state": "NJ",
            "postal_code": "070203133",
            "telephone_number": "646-977-9548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 E 65TH ST",
            "address_2": "SUITE 4A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100657013",
            "telephone_number": "212-535-2621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAMAYO PHYSICAL THERAPY P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-08",
        "last_updated": "2019-09-24",
        "status": "A",
        "authorized_official_last_name": "VILLANUEVA-FISCHBERG",
        "authorized_official_first_name": "GEZEL",
        "authorized_official_middle_name": "TAMAYO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "646-977-9548",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS, PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "010519-1",
            "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 Sep 24, 2019; 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.