MFS Physical Therapy Assistive Technology P.C.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA01313000 Issued in NJ

Legal business name

MFS PHYSICAL THERAPY ASSISTIVE TECHNOLOGY P.C.

Practice address

9-11 Westmoreland Ave
Fair Lawn, NJ 07410-1923

Phone

(646) 918-4670

NPI assigned

Dec 17, 2014

Organization subpart

No

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

Authorized official

Name

Maricris Formoso-Santos, PT, ATPNPI 1427284025

Title

Physical Therapist

Phone

(646) 918-4670

Specialties & licenses 3

Addresses

Practitioners 1

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

• Maricris Formoso-Santos, P.T.

  • Physical Therapist
  • Fair Lawn, NJ
  • NPI 1427284025
  NPD Authorized official

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

{
    "created_epoch": "1418774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612742400000",
    "number": "1659779908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9-11 WESTMORELAND AVE",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074101923",
            "telephone_number": "646-918-4670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9-11 WESTMORELAND AVE",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074101923",
            "telephone_number": "646-918-4670"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3222 92nd St",
            "address_2": "#401",
            "address_purpose": "LOCATION",
            "city": "East Elmhurst",
            "state": "NY",
            "postal_code": "113692460",
            "country_code": "US",
            "telephone_number": "646-918-4670",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MFS PHYSICAL THERAPY ASSISTIVE TECHNOLOGY P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-17",
        "last_updated": "2021-02-08",
        "certification_date": "2021-02-08",
        "status": "A",
        "authorized_official_last_name": "FORMOSO-SANTOS",
        "authorized_official_first_name": "MARICRIS",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "646-918-4670",
        "authorized_official_credential": "PT, ATP"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01313000",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "028196",
            "primary": false
        },
        {
            "code": "225CA2400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Rehabilitation Counselor, Assistive Technology Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jack Sol Mermelstein, OD
• Clara Isabel Mesevage-Makin, OTR/L
• Catherine Messina, R.D.
• Metro Oba Medical Services PC
• Metropolitan Mental Health
• MH at Fair Lawn LLC
• MHS Mental Healthcare Associates LLC.
• Manuela Maria Angela Miccoli, MSW
• Michael Rosenblum, DPM
• Virginia Mickolajczyk

• Physical Therapist in Fair Lawn, NJ
• Providers in Fair Lawn, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.