Individual provider Active NPI

Ferdinand D Guarin, PT

  • Specialist
  • Long Island City, NY
National Provider Identifier
1629389937
Registry record updated Oct 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
030254 Issued in NY
Practice address
4540 Center Blvd Apt 3009
Long Island City, NY 11109-5821
Phone
(718) 779-5588
NPI assigned
Jul 1, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 030254 NY Primary

Addresses

Primary practice location

4540 Center Blvd Apt 3009
Long Island City, NY 11109-5821

Mailing address

8411 Queens Blvd
Unit 3
Elmhurst, NY 11373-3098
Phone (718) 779-5588

Other identifiers 1

IdentifierTypeStateIssuer
030254OtherNYPHYSICAL THERAPY LICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110307000562 NY Practitioner - Physical Therapist in Private Practice 3678754868 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Spear Physical and Occupational Therapy, LLC CurrentSince Nov 6, 2024 Accepting new patients
Assured Care Physical Therapy PC Current Accepting new patients
Cedars Medical, P.C. Specialist Past Accepting new patients

Locations

120 E 56th St
Rm 1010
New York, NY 10022
Phone (646) 790-7466

120 E 56th St
Rm 835
New York, NY 10022
Phone (212) 759-2211

31 E 32nd St
Fl 4
New York, NY 10016
Phone (646) 973-5427

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1277942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571875200000",
    "number": "1629389937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8411 QUEENS BLVD",
            "address_2": "UNIT 3",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113733098",
            "telephone_number": "718-779-5588",
            "fax_number": "718-658-0306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4540 CENTER BLVD APT 3009",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111095821",
            "telephone_number": "718-779-5588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUARIN",
        "first_name": "FERDINAND",
        "middle_name": "D",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-01",
        "last_updated": "2019-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "030254",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPY LICENSE",
            "identifier": "030254",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Island City, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2019; 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.