Nicholas Cristo, PTA
Individual provider Active NPI Physical Therapy Assistant · Hope, NJ
NPI 1659602944 · NPPES record last updated Mar 29, 2012
Key facts
- NPI
- 1659602944
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 40QB00170200 (NJ)
- Practice address
- 145 State Park Rd
Hope, NJ 07844-0823 - Phone
- (914) 631-9020
- NPI assigned
- Jan 26, 2010
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40QB00170200 | NJ | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 40QB00170200 | NJ | Yes |
Addresses
Primary practice location
145 State Park Rd
Hope, NJ 07844-0823
Mailing address
1940 Commerce St
Yorkown Heights, NY 10598
Phone (914) 631-9021
NPI Registry JSON
{
"created_epoch": "1264464000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1332979200000",
"number": "1659602944",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1940 COMMERCE ST",
"city": "YORKOWN HEIGHTS",
"state": "NY",
"postal_code": "10598",
"telephone_number": "914-631-9021"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "145 STATE PARK RD",
"city": "HOPE",
"state": "NJ",
"postal_code": "078440823",
"telephone_number": "914-631-9020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRISTO",
"first_name": "NICHOLAS",
"name_prefix": "Mr.",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-01-26",
"last_updated": "2012-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "NJ",
"license": "40QB00170200",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hope, NJ
- Diane Lee Antley
- Forest Manor Health Care Center, Inc.
- Hope Township Board of Education
- Maria Kopek
- Jennifer Patrice Ohagan
All providers in Hope, NJ · Physical Therapy Assistant in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 29, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.