Jerome A. San Jose

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

027253-1 Issued in NY

Practice address

4150 78TH St
Apt. 514
Elmhurst, NY 11373-1950

Phone

(347) 605-8285

NPI assigned

Feb 11, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Avenue S Rehab PT PC

  • Physical Therapist
  • Brooklyn, NY
  • NPI 1174168355
  NPD (past)
• Origin Occupational & Physical Therapy PLLC

  • Occupational Therapist
  • Brooklyn, NY
  • NPI 1790062164

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1202688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416960000000",
    "number": "1366620569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4150 78TH ST",
            "address_2": "APT. 514",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113731950",
            "telephone_number": "347-605-8285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4150 78TH ST",
            "address_2": "APT. 514",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113731950",
            "telephone_number": "347-605-8285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAN JOSE",
        "first_name": "JEROME",
        "middle_name": "A.",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-02-11",
        "last_updated": "2014-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "027253-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samanthas Pharmacy Inc.
• Marina Zimara Sampaga, MD
• Samrat International
• Donn Samson, PT
• Maria Chona Pili San Gabriel
• Xavier San Miguel, MD
• Anabelle Malong San Pedro
• Jeanette Marie Sanchez Trinidad, MD
• Niulka B Sanchez-Reyes, DDS
• Erika Sanchez

• Physical Therapist in Elmhurst, NY
• Providers in Elmhurst, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2014; 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.