Maricris Formoso-Santos, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

028196-1 Issued in NY

Practice address

9-11 Westmoreland Ave # 401
Fair Lawn, NJ 07410-1923

Phone

(646) 918-4670

NPI assigned

Jun 9, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Tamayo Physical Therapy PCGroup PAC ID 5890839369, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Tamayo Physical Therapy P.C.

  • Physical Therapist
  • New York, NY
  • NPI 1326299371
  Medicare reassignment Care Compare group NPD
• MFS Physical Therapy Assistive Technology P.C.

  • Physical Therapist
  • Fair Lawn, NJ
  • NPI 1659779908
  NPD Authorized official
• Rejuvenate Rehabilitation Center

  • Physical Therapy Clinic/Center
  • Englewood, NJ
  • NPI 1346480738
  NPD (past)

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

{
    "created_epoch": "1244505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612742400000",
    "number": "1427284025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9-11 WESTMORELAND AVE # 401",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074101923",
            "telephone_number": "646-918-4670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9-11 WESTMORELAND AVE # 401",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074101923",
            "telephone_number": "646-918-4670"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3222 92nd St",
            "address_2": "401",
            "address_purpose": "LOCATION",
            "city": "East Elmhurst",
            "state": "NY",
            "postal_code": "113692460",
            "country_code": "US",
            "telephone_number": "646-918-4670",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FORMOSO-SANTOS",
        "first_name": "MARICRIS",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-09",
        "last_updated": "2021-02-08",
        "certification_date": "2021-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "028196-1",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01313000",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dana Fitzpatrick
• Flda, LLC (Fair Lawn Dental Associates)
• Norbert David Florczynski, D.C.
• Danielle Leigh Flugman
• Leslie Fontanez, PTA
• Rebecca Fortoul, PHARMD
• Valery Eugene Fradkov, LCSW
• Gavriel Aliza Franco, PSYD
• Frank Psychotherapy
• Jonathan Frank, LCSW

• Physical Therapist in Fair Lawn, NJ
• Providers in Fair Lawn, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2021; 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.