Organization Active NPI

Wolf Performance Consulting LLC

  • Physical Therapy Clinic/Center
  • Jersey City, NJ
National Provider Identifier
1497218044
Registry record updated Apr 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
WOLF PERFORMANCE CONSULTING LLC
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
Apr 10, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2019

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

Authorized official

Name
Dr. Ernest S Eusebio, PT, DPTNPI 1487198628
Title
Founder
Phone
(201) 855-9681

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

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

Mailing address

350 Warren Street Unit 705
Jersey City, NJ 07302
Phone (201) 851-2743

Other names 1

  • WOLVES Doing business as

National Provider Directory

National Provider Directory

Locations

150 Bay St
Ste 2
Jersey City, NJ 07302
Phone (201) 855-9681

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1554854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554854400000",
    "number": "1497218044",
    "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": "201-851-2743"
        },
        {
            "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": {
        "organization_name": "WOLF PERFORMANCE CONSULTING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-10",
        "last_updated": "2019-04-10",
        "status": "A",
        "authorized_official_last_name": "EUSEBIO",
        "authorized_official_first_name": "ERNEST",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "201-855-9681",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WOLVES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jersey City, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 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.