Individual provider Active NPI

Marizza Dulfo, RPT

  • Physical Therapist
  • Brooklyn, NY
National Provider Identifier
1518057223
Registry record updated Dec 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
019561 Issued in NY
Practice address
240 S 3Rd St
Brooklyn, NY 11211-5602
Phone
(718) 302-0456
Fax
(718) 218-8878
NPI assigned
Oct 13, 2006
Last updated
Dec 1, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 1, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 019561 NY Primary

Addresses

Primary practice location

240 S 3Rd St
Brooklyn, NY 11211-5602

Mailing address

240 S 3Rd St
Brooklyn, NY 11211-5602
Phone (718) 302-0456

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070315000142 NY Practitioner - Physical Therapist in Private Practice 8921101783 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Action Care Physical Therapy PCGroup PAC ID 5799192373, 6 clinicians

Practice addresses (Care Compare)

3758 91St St
BSMT
Jackson Heights, NY 11372-7928
Phone (718) 457-4801

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
019561NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Action Care Physical Therapy PC Physical Therapist CurrentSince Mar 1, 2021 Accepting new patients
Total Rehab and Physical Therapy PC Physical Therapist Past Accepting new patients
MCM Medical Care PC Past Accepting new patients

Locations

3758 91st St
Bsmt
Jackson Heights, NY 11372
Phone (718) 457-4801

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322697600000",
    "number": "1518057223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 S 3RD ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112115602",
            "telephone_number": "718-302-0456",
            "fax_number": "718-218-8878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 S 3RD ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112115602",
            "telephone_number": "718-302-0456",
            "fax_number": "718-218-8878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DULFO",
        "first_name": "MARIZZA",
        "name_prefix": "Mrs.",
        "credential": "RPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-13",
        "last_updated": "2011-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "019561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2011; 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.