Jerome Villanueva, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

022688-2 Issued in NY

Practice address

248 W 80TH St
5TH Floor
New York, NY 10024-7608

Phone

(212) 874-1550

Fax

(212) 874-1599

NPI assigned

Oct 11, 2007

Last updated

Jan 25, 2012By the provider in NPPES

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

Enrolled in NY

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jerome.villanueva.p2@direct.ucpnyc.nextgenshare.com

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.

• Outreach Physical and Occupational Therapy & Speech Rehabilitation, PLLC

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  • Great Neck, NY
  • NPI 1841526399
  Medicare reassignment NPD
• United Cerebral Palsy of New York City Inc

  • Rehabilitation Clinic/Center
  • New York, NY
  • NPI 1730302019
  Medicare reassignment

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

{
    "created_epoch": "1192060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327449600000",
    "number": "1831387182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "248 W 80TH ST",
            "address_2": "5TH FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100247608",
            "telephone_number": "212-874-1550",
            "fax_number": "212-874-1599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "248 W 80TH ST",
            "address_2": "5TH FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100247608",
            "telephone_number": "212-874-1550",
            "fax_number": "212-874-1599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLANUEVA",
        "first_name": "JEROME",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-11",
        "last_updated": "2012-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "022688-2",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jareeza Villanueva-Fournier, REGISTERED NURSE
• Ana Villanueva, LMSW
• Dannielle Evie Villanueva
• Gebeth Tamayo Villanueva, PT
• Gerald Villanueva, M.D.
• Linda Villanueva, M.D.
• Maya Destiny Villanueva, PA-C
• Mayra Villanueva, MS SPECIAL EDUCATOR
• Milton Manuel Villanueva, MSW
• Rachel Villanueva, M.D.

• Physical Therapist in New York, NY
• Providers in New York, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2012; 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.