Individual provider Active NPI

Laudenicia Ramirez Moraleta, PHYSICAL THERAPIST

  • Physical Therapist
  • Mahwah, NJ
National Provider Identifier
1588081061
Registry record updated Mar 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
010280 Issued in NY
Practice address
70 Petersen PL
Mahwah, NJ 07430-2019
Phone
(201) 486-3541
Fax
(201) 783-8236
NPI assigned
Mar 24, 2014
Last updated
Mar 24, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 24, 2014

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 010280 NY Primary

Addresses

Primary practice location

70 Petersen PL
Mahwah, NJ 07430-2019

Mailing address

70 Petersen PL
Mahwah, NJ 07430-2019
Phone (201) 486-3541

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240722001805 NY Practitioner - Physical Therapist in Private Practice 4789120155 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Peyman Younesi MD PLLCGroup PAC ID 4981860202, 98 clinicians
My Medical PCGroup PAC ID 0143610600, 93 clinicians

Practice addresses (Care Compare)

1 S Route 9W
Haverstraw, NY 10927-1714
Phone (845) 429-8411

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
010280NYMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
My Medical PC CurrentSince Dec 15, 2024 Accepting new patients
Peyman Younesi MD PLLC CurrentSince Jun 15, 2024 Accepting new patients

Locations

3438 Bell Blvd
Ste 301
Bayside, NY 11361

147 2nd Ave
Brentwood, NY 11717
Phone (631) 273-7204

2830 Pitkin Ave
Brooklyn, NY 11208
Phone (347) 420-8295

8008 45th Ave
Flushing, NY 11373
Phone (718) 373-0777

1 S Route 9W
Haverstraw, NY 10927
Phone (845) 429-8411

1 S Route 9W
Ste M4
Haverstraw, NY 10927
Phone (845) 429-8411

9131 175th St
Jamaica, NY 11432
Phone (340) 709-3133

822 Cedar Ave
Niagara Falls, NY 14301
Phone (716) 272-1207

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, 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": "1395619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395619200000",
    "number": "1588081061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 PETERSEN PL",
            "city": "MAHWAH",
            "state": "NJ",
            "postal_code": "074302019",
            "telephone_number": "201-486-3541",
            "fax_number": "201-783-8236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 PETERSEN PL",
            "city": "MAHWAH",
            "state": "NJ",
            "postal_code": "074302019",
            "telephone_number": "201-486-3541",
            "fax_number": "201-783-8236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORALETA",
        "first_name": "LAUDENICIA",
        "middle_name": "RAMIREZ",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-03-24",
        "last_updated": "2014-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "010280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mahwah, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2014; 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.