Ricardo Cerqueira, SA

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

000078 Issued in NY

Practice address

2432 Grand Concourse
Bronx, NY 10458-5204

Phone

(718) 817-7951

Fax

(718) 817-7078

NPI assigned

Mar 15, 2007

Sex

Male

Sole proprietor

Yes

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1497889265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "96 CHARLES ST",
            "city": "MINEOLA",
            "state": "NY",
            "postal_code": "115012018",
            "telephone_number": "516-739-1040",
            "fax_number": "516-739-1040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2432 GRAND CONCOURSE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104585204",
            "telephone_number": "718-817-7951",
            "fax_number": "718-817-7078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CERQUEIRA",
        "first_name": "RICARDO",
        "credential": "SA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NY",
            "license": "000078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey M Ceresnak, M.D.,
• Charles Cericola, OT
• Liliana Patricia Cermeno, TSHH
• Kelly Tatiana Ceron Reyes, ST
• Francisca Ceron, DDS
• Sarah Rose Cerutti, MSW
• Natalie Cervantes-Libassi
• Doris Ibeth Cervantes
• Ixel Cervera, M.D.
• Walter Joseph Cesarski III

• Surgical Physician Assistant in Bronx, NY
• Providers in Bronx, NY by specialty
• Surgical Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.