Jeremy Macaraig, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

034602-1 Issued in NY

Practice address

2124 30TH Ave
Suite C1
Astoria, NY 11102-4189

Phone

(718) 545-0999

Fax

(718) 425-8975

NPI assigned

Jan 21, 2014

Sex

Male

Sole proprietor

No

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

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

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.

• John Soriano RPT PA

  • Physical Therapist
  • San Francisco, CA
  • NPI 1518020593
  Medicare reassignment NPD
• Crescent Physical Therapy P.C.

  • Orthopedic Physical Therapist
  • Astoria, NY
  • NPI 1083667109
  NPD (past)
• Universal Pain Management,PC

  • Physical Therapist
  • Astoria, NY
  • NPI 1699152934
  NPD (past)

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

{
    "created_epoch": "1390262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390262400000",
    "number": "1366865701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "241 E 111TH ST",
            "address_2": "APT FW",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100292934",
            "telephone_number": "718-606-0034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2124 30TH AVE",
            "address_2": "SUITE C1",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111024189",
            "telephone_number": "718-545-0999",
            "fax_number": "718-425-8975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACARAIG",
        "first_name": "JEREMY",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-01-21",
        "last_updated": "2014-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "034602-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• M & I Management, Inc.
• M.a.S. Medical, P.C.
• Terri Ma, L.AC.
• Catherine Mabelo, PT
• Jean Maby, RN
• Ashley Nicole Macdonald
• Imelda Macebabayao
• Richard James Mackool, MD
• Richard Jonathan Mackool, M.D.
• Louis Lawrence Macolino II, D.C.

• Physical Therapist in Astoria, NY
• Providers in Astoria, 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 Jan 21, 2014; 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.