Cross Island Physical Therapy PC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

CROSS ISLAND PHYSICAL THERAPY PC

Practice address

194 Covert Ave
Floral Park, NY 11001-3741

Phone

(847) 852-0894

NPI assigned

Sep 7, 2023

Organization subpart

No

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

Authorized official

Name

Melwin Fernandez, DPTNPI 1649668971

Title

Physical Therapist

Phone

(847) 852-0894

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 3

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

• Melwin Fernandez

  • Orthopedic Physical Therapist
  • Queens Village, NY
  • NPI 1649668971
  Medicare reassignment Care Compare group NPD Authorized official
• Maria Noel Zalazar, OT

  • Occupational Therapist
  • Bayside, NY
  • NPI 1407698186
  Medicare reassignment Care Compare group NPD
• Johnny J Gonzalez, DPT

  • Physical Therapist
  • Bayside, NY
  • NPI 1356026413
  Medicare reassignment NPD

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

{
    "created_epoch": "1694044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694044800000",
    "number": "1548046139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "194 COVERT AVE",
            "city": "FLORAL PARK",
            "state": "NY",
            "postal_code": "110013741",
            "telephone_number": "847-852-0894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "194 COVERT AVE",
            "city": "FLORAL PARK",
            "state": "NY",
            "postal_code": "110013741",
            "telephone_number": "847-852-0894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSS ISLAND PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-07",
        "last_updated": "2023-09-07",
        "certification_date": "2023-09-07",
        "status": "A",
        "authorized_official_last_name": "FERNANDEZ",
        "authorized_official_first_name": "MELWIN",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "847-852-0894",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kerry P Cormican, MSED
• Creative Resources Consultation Center, Inc.
• Viviana Cristancho
• Roxanne Croll
• Cross County Podiatry, PC
• Gerardo Santiago Cruz, PT
• Susan Cuoccio, MS.ED.
• Curelink RX LTD
• Nicole Cutrone
• CVS Albany LLC

• Physical Medicine & Rehabilitation Physician in Floral Park, NY
• Providers in Floral Park, NY by specialty
• Physical Medicine & Rehabilitation Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.