Individual provider Active NPI

Ralph Cristobal, RPT

  • Physical Therapist
  • New York, NY
National Provider Identifier
1538243274
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
024709 Issued in NY
Practice address
39 E 20TH St FL 1
New York, NY 10003-1336
Phone
(212) 473-9155
Fax
(212) 777-6522
NPI assigned
Oct 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 024709 NY Primary

Addresses

Primary practice location

39 E 20TH St FL 1
New York, NY 10003-1336

Mailing address

402 85TH St Apt 6I
Brooklyn, NY 11209-4722
Phone (212) 473-9155

Other names 1

  • Mr. Ralph Cristobal Professional name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091118000138 NY Practitioner - Physical Therapist in Private Practice 0941348627 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Victoria Physical Medicine PCGroup PAC ID 7012970957, 3 clinicians

Practice addresses (Care Compare)

53 Elizabeth St
3A
New York, NY 10013-4617
Phone (212) 966-9818

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
024709NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Victoria Physical Medicine PC CurrentSince Aug 1, 2013 Accepting new patients
Naturo-Medical Health Care, P.C. Physical Therapist PastSince Mar 20, 2020 Accepting new patients

Locations

53 Elizabeth St
Ste 3A
New York, NY 10013
Phone (212) 966-9818

53 Elizabeth St
#3A
New York, NY 10013
Phone (212) 966-9818

Networks

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

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1538243274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 85TH ST APT 6I",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112094722",
            "telephone_number": "212-473-9155",
            "fax_number": "212-777-6522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 E 20TH ST FL 1",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100031336",
            "telephone_number": "212-473-9155",
            "fax_number": "212-777-6522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRISTOBAL",
        "first_name": "RALPH",
        "name_prefix": "Mr.",
        "credential": "RPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "024709",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RALPH",
            "last_name": "CRISTOBAL",
            "prefix": "MR.",
            "credential": "RPT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in New York, NY

Sources for this page

  • 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.
  • 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.