Individual provider Active NPI

George Hidalgo Quezon

  • Physical Therapist
  • New York, NY
National Provider Identifier
1871806141
Registry record updated Jul 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
030513 Issued in NY
Practice address
4951 Chambers Street
New York, NY 10007-1209
Phone
(917) 286-5147
NPI assigned
Jul 15, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 030513 NY Primary

Addresses

Primary practice location

4951 Chambers Street
New York, NY 10007-1209

Mailing address

130 Hillside Ave
Nutley, NJ 07110-1600
Phone (973) 320-5194

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110907000964 NY Practitioner - Physical Therapist in Private Practice 3072783711 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

2324 Forest Ave
Staten Island, NY 10303-1506
Phone (718) 447-0200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
030513NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Young Adult Institute, Inc. CurrentSince Sep 27, 2011 Accepting new patients
The Caring PT Group, PLLC Physical Therapist CurrentSince Sep 9, 2020 Accepting new patients
United Cerebral Palsy Associations of New York State, Inc. Current Accepting new patients
Outreach Physical and Occupational Therapy & Speech Rehabilitation, PLLC Physical Therapist CurrentSince Jul 5, 2013 Accepting new patients
United Cerebral Palsy Assoc of Nys Inc Current Accepting new patients
Superior Clinical Care PLLC CurrentSince Sep 2, 2020 Accepting new patients
United Cerebral Palsy Assoc of Nys Inc. CurrentSince Aug 8, 2011 Accepting new patients
United Cerebral Palsy Assoc of Nys Inc. Past Accepting new patients
Harmony Medical Care, PC PastSince Dec 1, 2025 Accepting new patients

Locations

979 Cross Bronx Expy
Bronx, NY 10460
Phone 71866575653009

3060 E Tremont Ave
Bronx, NY 10461
Phone (718) 239-1790

921 E New York Ave
#C
Brooklyn, NY 11203
Phone (718) 778-8587

921 E New York Ave
Brooklyn, NY 11203
Phone (718) 778-0485

3 Grace Ave
Ste 119
Great Neck, NY 11021
Phone (212) 842-0080

330 W 34th St
Fl 15
New York, NY 10001

220 E 42nd St
Fl 8
New York, NY 10017
Phone (212) 273-2761

40 Rector St
Fl 15
New York, NY 10006
Phone (929) 647-4796

17 N Plank Rd
Ste 10
Newburgh, NY 12550
Phone (845) 800-9305

2324 Forest Ave
Staten Island, NY 10303
Phone (718) 447-0200

5140 59th St
Woodside, NY 11377
Phone (718) 639-2931

Organizations & group practices 9

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": "1279152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279152000000",
    "number": "1871806141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 HILLSIDE AVE",
            "city": "NUTLEY",
            "state": "NJ",
            "postal_code": "071101600",
            "telephone_number": "973-320-5194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4951 CHAMBERS STREET",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100071209",
            "telephone_number": "917-286-5147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUEZON",
        "first_name": "GEORGE",
        "middle_name": "HIDALGO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-15",
        "last_updated": "2010-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "030513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.