Ernest S Eusebio, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA01705900 Issued in NJ

Practice address

150 Bay Street, 2ND-Floor Commercial Entrance
Located Inside of 150 Bay Crossfit
Jersey City, NJ 07302

Phone

(201) 855-9681

NPI assigned

Dec 7, 2016

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

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.

• Wolf Performance Consulting LLC

  • Physical Therapy Clinic/Center
  • Jersey City, NJ
  • NPI 1497218044
  NPD (past) Authorized official

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

{
    "created_epoch": "1481068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554681600000",
    "number": "1487198628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 WARREN STREET UNIT #705",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "07302",
            "telephone_number": "201-855-9681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 BAY STREET, 2ND-FLOOR COMMERCIAL ENTRANCE",
            "address_2": "LOCATED INSIDE OF 150 BAY CROSSFIT",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "07302",
            "telephone_number": "201-855-9681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EUSEBIO",
        "first_name": "ERNEST",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-12-07",
        "last_updated": "2019-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01705900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Essex Union Podiatry LLP
• Merna Fakih Fanaweel Essha, RPH
• Joseph Essilfie
• Rheena Richie J. Estrella, PT, DPT,
• Mounika Ethanasioss, LCSW
• Taylor A Eutsey, LSW, LMSW
• Evening Star Rehabilitation Physical Therapy PC
• Everas Community Services, Inc.
• Everside Health, LLC
• Everside Health, LLC

• Physical Therapist in Jersey City, NJ
• Providers in Jersey City, 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 Apr 8, 2019; 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.