Earvin Ygnacio Lucio Jerez

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

015379-01 Issued in NY

Practice address

150 W End Ave Apt 1M
New York, NY 10023-5715

Phone

(121) 260-0478

NPI assigned

May 4, 2026

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1777852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777852800000",
    "number": "1790612935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "231 W 149TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100392704",
            "telephone_number": "646-818-5479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 W END AVE APT 1M",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100235715",
            "telephone_number": "121-260-0478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUCIO JEREZ",
        "first_name": "EARVIN",
        "middle_name": "YGNACIO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-05-04",
        "last_updated": "2026-05-04",
        "certification_date": "2026-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NY",
            "license": "015379-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nevena Lucic, M.D.
• Josephine Lucido
• Madison Lucido
• Lucien M Cesiano MD PC
• Gina Lucien-Lissone, ANP
• Valentina Lucio Paredes
• Daniella Alana Lucio
• Savannah Jane Lucio, PA-C
• Linda Lucious
• Amy Luckert, PHYSICIAN ASSISTANT

• Physical Therapy Assistant in New York, NY
• Providers in New York, NY by specialty
• Physical Therapy Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2026; 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.