Fernando Moreno Physical Therapy

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

40QA015352001 Issued in NJ

Legal business name

FERNANDO MORENO PHYSICAL THERAPY

Practice address

6050 Kennedy Blvd E
Apt 2G
West New York, NJ 07093-3901

Phone

(917) 306-0725

NPI assigned

Oct 26, 2015

Last updated

Oct 26, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Fernando Moreno Jr., DPT

Title

Physical Therapist

Phone

(917) 306-0725

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1445817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445817600000",
    "number": "1396117628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6050 KENNEDY BLVD E",
            "address_2": "APT 2G",
            "city": "WEST NEW YORK",
            "state": "NJ",
            "postal_code": "070933901",
            "telephone_number": "917-306-0725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6050 KENNEDY BLVD E",
            "address_2": "APT 2G",
            "city": "WEST NEW YORK",
            "state": "NJ",
            "postal_code": "070933901",
            "telephone_number": "917-306-0725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FERNANDO MORENO PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-26",
        "last_updated": "2015-10-26",
        "status": "A",
        "authorized_official_last_name": "MORENO",
        "authorized_official_first_name": "FERNANDO",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "917-306-0725",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NY",
            "license": "036219",
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NJ",
            "license": "40QA015352001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heidi Fentzke, D.C.
• Ninoska Fergusson, DMD
• Henry Fernandez-Cos
• Charlene Fernandez, OTA
• Kerry Ann Fernandez
• Yaranil Ferrer, LCSW
• Jorge J Figueroa, MD
• Christina F Fini, RD
• Leunnith Fioravante, SA-C
• Christopher Fiorillo, LMT

• Physical Therapy Clinic/Center in West New York, NJ
• Providers in West New York, NJ by specialty
• Physical Therapy Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2015; 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.