Individual provider Active NPI

Ralph Quiambao Adviento

  • Physical Therapist
  • Bronx, NY
National Provider Identifier
1962710939
Registry record updated Sep 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
032461 Issued in NY
Practice address
943 Brady Ave
Bronx, NY 10462-2746
Phone
(347) 810-0495
Fax
(347) 810-0495
NPI assigned
Sep 23, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 23, 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 032461 NY Primary

Addresses

Primary practice location

943 Brady Ave
Bronx, NY 10462-2746

Mailing address

943 Brady Ave
Bronx, NY 10462-2746
Phone (347) 810-0495

Other identifiers 1

IdentifierTypeStateIssuer
6462800611MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
032461NYMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1285200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285200000000",
    "number": "1962710939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "943 BRADY AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104622746",
            "telephone_number": "347-810-0495",
            "fax_number": "347-810-0495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "943 BRADY AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104622746",
            "telephone_number": "347-810-0495",
            "fax_number": "347-810-0495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADVIENTO",
        "first_name": "RALPH",
        "middle_name": "QUIAMBAO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-09-23",
        "last_updated": "2010-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "032461",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6462800611",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2010; 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.