Individual provider Active NPI

Cyril Sanciangco

  • Physical Therapist
  • Springfield, NJ
National Provider Identifier
1982238978
Registry record updated Feb 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT40QA00684300 Issued in NJ
Practice address
90 Kew Dr
Springfield, NJ 07081-2505
Phone
(973) 714-1152
NPI assigned
Feb 27, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 27, 2020

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 PT40QA00684300 NJ Primary

Addresses

Primary practice location

90 Kew Dr
Springfield, NJ 07081-2505

Mailing address

90 Kew Dr
Springfield, NJ 07081-2505
Phone (973) 714-1152

Other identifiers 1

IdentifierTypeStateIssuer
PTQA00684300OtherNJSTATE PT LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL sancj9cy@gmail.com Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050214000161 NJ Practitioner - Physical Therapist in Private Practice 2860444387 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT40QA00684300NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ardent Rehab of NJ LLC Physical Therapist CurrentSince Feb 23, 2024 Accepting new patients
Excellent Homecare of NJ LLC Physical Therapist CurrentSince Mar 1, 2020 Accepting new patients

Locations

2444 Morris Ave
Ste 218
Union, NJ 07083
Phone (973) 714-1152

40 Galesi Dr
Ste 5B
Wayne, NJ 07470
Phone (973) 837-8722

Organizations & group practices 2

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": "1582761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582761600000",
    "number": "1982238978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 KEW DR",
            "city": "SPRINGFIELD",
            "state": "NJ",
            "postal_code": "070812505",
            "telephone_number": "973-714-1152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 KEW DR",
            "city": "SPRINGFIELD",
            "state": "NJ",
            "postal_code": "070812505",
            "telephone_number": "973-714-1152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANCIANGCO",
        "first_name": "CYRIL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-02-27",
        "last_updated": "2020-02-27",
        "certification_date": "2020-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "PT40QA00684300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE PT LICENSE",
            "identifier": "PTQA00684300",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "sancj9cy@gmail.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "90 Kew Dr",
            "city": "Springfield",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "070812505",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Springfield, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2020; 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.