Active NPI
Joseph Jerome Robles Suarez, PT
- Physical Therapist
- Bronx, NY
National Provider Identifier
1578286134
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 047100
- Practice address
- 2118 Williamsbridge Rd
Bronx, NY 10461-1602 - Phone
- (718) 823-3900
- Fax
- (718) 823-3961
- NPI assigned
- Sep 20, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 047100 | NY | |
| Physical Therapist | 225100000X | 047100 | NY | Primary |
Addresses
Primary practice location
2118 Williamsbridge Rd
Bronx, NY 10461-1602
Mailing address
2118 Williamsbridge Rd
Bronx, NY 10461-1602
Phone (718) 823-3900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 047100 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pelham Physical Medicine Inc | Single Specialty | Current | Accepting new patients |
| Pelham Physical Medicine Inc | Single Specialty | Current | Accepting new patients |
Locations
2118 Williamsbridge Rd
Bronx, NY 10461
Phone (718) 823-3900
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": "1663632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713139200000",
"number": "1578286134",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2118 WILLIAMSBRIDGE RD",
"city": "BRONX",
"state": "NY",
"postal_code": "104611602",
"telephone_number": "718-823-3900",
"fax_number": "718-823-3961"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2118 WILLIAMSBRIDGE RD",
"city": "BRONX",
"state": "NY",
"postal_code": "104611602",
"telephone_number": "718-823-3900",
"fax_number": "718-823-3961"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUAREZ",
"first_name": "JOSEPH JEROME",
"middle_name": "ROBLES",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-09-20",
"last_updated": "2024-04-15",
"certification_date": "2024-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation",
"state": "NY",
"license": "047100",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "NY",
"license": "047100",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.