Individual provider Active NPI

Enrica Gonesto Secio, PT

  • Physical Therapist
  • Hoboken, NJ
National Provider Identifier
1881832244
Registry record updated Jan 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01303000 Issued in NJ
Practice address
80 River St
Suite 5a
Hoboken, NJ 07030-5626
Phone
(201) 377-1888
NPI assigned
Jan 22, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 22, 2009

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 40QA01303000 NJ Primary

Addresses

Primary practice location

80 River St
Suite 5a
Hoboken, NJ 07030-5626

Mailing address

8 Hewitt Ave
Staten Island, NY 10301-4614
Phone (240) 413-7998

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140916001124 NJ Practitioner - Physical Therapist in Private Practice 0042363749 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medwell LLCGroup PAC ID 9931189776, 11 clinicians
Total Care Physical Therapy and Sports Medicine PCGroup PAC ID 3678875978, 7 clinicians

Practice addresses (Care Compare)

33 Central Ave
Midland Park, NJ 07432-1401
Phone (201) 819-1081

4801 Broadway
Union City, NJ 07087-6516
Phone (201) 751-5000

Merit-based Incentive Payment System (MIPS)

Final score
78.07 of 100Reported as group
Quality
100
Improvement activities
40
Cost
26.89

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40QA01303000NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Medwell LLC Physical Therapist CurrentSince Jul 18, 2018 Accepting new patients
Total Care Physical Therapy & Sports Medicine PC Physical Therapist CurrentSince Aug 16, 2024 Accepting new patients

Locations

33 Central Ave
Midland Park, NJ 07432
Phone (201) 447-9022

4801 Broadway
Union City, NJ 07087
Phone (201) 543-1668

Organizations & group practices 3

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": "1232582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1232582400000",
    "number": "1881832244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 HEWITT AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103014614",
            "telephone_number": "240-413-7998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 RIVER ST",
            "address_2": "SUITE 5A",
            "city": "HOBOKEN",
            "state": "NJ",
            "postal_code": "070305626",
            "telephone_number": "201-377-1888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SECIO",
        "first_name": "ENRICA",
        "middle_name": "GONESTO",
        "name_prefix": "Miss",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-01-22",
        "last_updated": "2009-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01303000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hoboken, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2009; 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.