Active NPI
Lean Carlo P Romualdo
- Physical Therapy Assistant
- New York, NY
National Provider Identifier
1972465581
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 008034-01
- Practice address
- 520 W 218TH St
New York, NY 10034-1020 - Phone
- (212) 304-1755
- Fax
- (212) 304-4308
- NPI assigned
- Dec 2, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 008034-01 | NY | Primary |
Addresses
Primary practice location
520 W 218TH St
New York, NY 10034-1020
Mailing address
34 S Harrison Ave
Congers, NY 10920-2212
Phone (845) 729-1702
Other practice location 1
354 Fort Washington Ave
New York, NY 10033-6834
Phone (646) 869-0599 ext. 90599
Other practice location 2
4211 Broadway
New York, NY 10033-3747
Phone (646) 707-0469
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 008034-01 | NY | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1764633600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1764633600000",
"number": "1972465581",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "34 S HARRISON AVE",
"city": "CONGERS",
"state": "NY",
"postal_code": "109202212",
"telephone_number": "845-729-1702"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "520 W 218TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100341020",
"telephone_number": "212-304-1755",
"fax_number": "212-304-4308"
}
],
"practiceLocations": [
{
"address_1": "354 Fort Washington Ave",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100336834",
"country_code": "US",
"telephone_number": "646-869-0599 x90599",
"fax_number": "212-304-4308",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4211 Broadway",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100333747",
"country_code": "US",
"telephone_number": "646-707-0469",
"fax_number": "212-304-4308",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROMUALDO",
"first_name": "LEAN CARLO",
"middle_name": "P",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-12-02",
"last_updated": "2025-12-02",
"certification_date": "2025-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapy Assistant",
"state": "NY",
"license": "008034-01",
"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 Dec 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.