Jennifer Rose Cerullo (NPI# 1811411820, PAC ID# 2961775374) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1811411820 |
| PAC ID by PECOS | 2961775374 |
| Professional Enrollment ID | I20170907000320 |
| Full Name | Jennifer Rose Cerullo |
| Organization Legal Name | ELITE PERFORMANCE PHYSICAL THERAPY PC |
| Address |
1325 Franklin Ave Suite Ll105 Garden City NY 11530-1688 |
| Phone Number | 5162808811 |
| Gender | F |
| Medical School | MERCY COLLEGE |
| Graduation Year | 2017 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 2567501604 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1325 Franklin Ave, Suite Ll105, Garden City, NY 11530-1688 | 5162808811 | ELITE PERFORMANCE PHYSICAL THERAPY PC |
| Organization Legal Name | ELITE PERFORMANCE PHYSICAL THERAPY PC |
| Physicians | 7 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Melissa A Pulice | Physical Therapy | Elite Performance Physical Therapy PC | 1325 Franklin Ave, Suite Ll105, Garden City, NY 11530-1688 |
| Steven Anthony Venegas | Physical Therapy | Elite Performance Physical Therapy PC | 1325 Franklin Ave, Suite Ll105, Garden City, NY 11530-1688 |
| Frank Vincent Deleo | Physical Therapy | Elite Performance Physical Therapy PC | 1325 Franklin Ave, Suite Ll105, Garden City, NY 11530-1688 |
| Michael R Defeo | Physical Therapy | Elite Performance Physical Therapy PC | 1325 Franklin Ave, Suite Ll105, Garden City, NY 11530-1688 |
| Matthew Simms | Physical Therapy | Elite Performance Physical Therapy PC | 1325 Franklin Ave, Ll105, Garden City, NY 11530-1688 |
| Gilda Harrison | Physical Therapy | Elite Performance Physical Therapy PC | 260 Maple Ave, Rockville Centre, NY 11570-4368 |
| Street Address |
1325 FRANKLIN AVE SUITE LL105 |
| City | GARDEN CITY |
| State | NY |
| Zip | 11530-1688 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Melissa A Pulice | Physical Therapy | Elite Performance Physical Therapy PC | 1325 Franklin Ave, Suite Ll105, Garden City, NY 11530-1688 |
| Steven Anthony Venegas | Physical Therapy | Elite Performance Physical Therapy PC | 1325 Franklin Ave, Suite Ll105, Garden City, NY 11530-1688 |
| Jennifer Defeo | Occupational Therapy | 1325 Franklin Ave, Suite Ll105, Garden City, NY 11530-1688 | |
| Frank Vincent Deleo | Physical Therapy | Elite Performance Physical Therapy PC | 1325 Franklin Ave, Suite Ll105, Garden City, NY 11530-1688 |
| Michael R Defeo | Physical Therapy | Elite Performance Physical Therapy PC | 1325 Franklin Ave, Suite Ll105, Garden City, NY 11530-1688 |
| Susanne Corrales | Occupational Therapy | Liht Occupational Therapy PC | 1325 Franklin Ave, Suite Ll105, Garden City, NY 11530-1688 |
| Matthew Simms | Physical Therapy | Elite Performance Physical Therapy PC | 1325 Franklin Ave, Ll105, Garden City, NY 11530-1688 |
| Edwin Rosenwasser | General Practice | 1325 Franklin Ave, Garden City, NY 11530-1631 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Theresa A Schoenig | Psychologist, Clinical | 9 Greenridge Park, Garden City, NY 11530-1118 | |
| Jessica Powers | Psychologist, Clinical | 95 Suffolk Ln, Garden City, NY 11530-1535 | |
| Janet Weiss | Psychologist, Clinical | 96 Suffolk Ln, Garden City, NY 11530-1536 | |
| Daniel J Ulicny | Anesthesiology | Islandwide Gastroenterology PC | 1205 Franklin Ave, Suite 150, Garden City, NY 11530-1600 |
| Robert J Bonasera | Gastroenterology | Islandwide Gastroenterology PC | 1205 Franklin Ave, Suite 150, Garden City, NY 11530-1600 |
| Kenneth Levine | Anesthesiology | Islandwide Gastroenterology PC | 1205 Franklin Ave, Suite 150, Garden City, NY 11530-1600 |
| Chris Demetriou | Gastroenterology | Chris Demetriou Md PC | 1205 Franklin Ave, Suite 150, Garden City, NY 11530-1600 |
| Zhanqing Yan | Pathology | Islandwide Gastroenterology PC | 1205 Franklin Ave, Suite 150, Garden City, NY 11530-1600 |
| Haseeb Ahmed | Gastroenterology | Chris Demetriou Md PC | 1205 Franklin Ave, Suite 150, Garden City, NY 11530-1600 |
| Eleazer Yousefzadeh | Gastroenterology | Islandwide Gastroenterology PC | 1205 Franklin Ave, Suite 150, Garden City, NY 11530-1600 |
| Find all physicians in zip 11530 | |||
| City | GARDEN CITY |
| Zip Code | 11530 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | GARDEN CITY + PHYSICAL THERAPY |
Please comment or provide details below to improve the information on Jennifer Rose Cerullo.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.