JUSTIN MARLO DELA CRUZ NAMUCO
NPI 1639845597
Physical Therapist in Garden City, NY

Active since August 20, 2021
623 STEWART AVE, GARDEN CITY, NY 11530(718) 414-2777 Get Directions Write a Review

NPPES record last updated: August 20, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Justin Marlo Dela Cruz Namuco NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JUSTIN MARLO DELA CRUZ NAMUCO (NPI 1639845597) is an individual physical therapist in Garden City, New York and active in the NPI registry since August 2021. He is a graduate of Other (2022).

NPPES Registry Identity

NPI1639845597
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameJUSTIN MARLO DELA CRUZ NAMUCO
Location Address623 STEWART AVEGarden City, NY 11530-4771
Mailing Address196 Fenimore AveUniondale, NY 11553-1116
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateAugust 20, 2021
NPPES CertifiedAugust 20, 2021
✔ NPI 1639845597 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
623 STEWART AVE, Garden City, NY 11530

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Justin Marlo Dela Cruz Namuco is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2163805755
PECOS Enrollment IDI20220815001550

Medicare Billing Reassignments

3

Medicare enrollment records show Justin Marlo Namuco reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Orthopedic
80 MAIDEN LN RM 1007
New York, NY 10038
  • Reassigned Medicare billing, New York enrollment
Physical Therapist
339 KINGS HIGHWAY
Brooklyn, NY 11223
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: Solar Health Physical Therapy And Acupuncture PC
  • 13 clinicians in this Medicare group
Multi-Specialty
833 58TH ST BSMT FLOOR
Brooklyn, NY 11220
  • Reassigned Medicare billing, New York enrollment
  • 21 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Medical Specialty)
623 STEWART AVE
GARDEN CITY, NY 11530
Internal Medicine (Pulmonary Disease)
623 STEWART AVE
GARDEN CITY, NY 11530
Physician Assistant
623 STEWART AVE
GARDEN CITY, NY 11530
Internal Medicine (Pulmonary Disease)
623 STEWART AVE
GARDEN CITY, NY 11530
Anesthesiology
623 STEWART AVE
GARDEN CITY, NY 11530
Physical Medicine & Rehabilitation
623 STEWART AVE
GARDEN CITY, NY 11530

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Justin Marlo Namuco's NPI number?

The NPI number for Justin Marlo Namuco is 1639845597. It was assigned to this individual provider in the NPPES registry on August 20, 2021.

Where is Justin Marlo Namuco located?

Justin Marlo Namuco practices at 623 Stewart Ave, Garden City, NY 11530. The listed phone number is (718) 414-2777.

What is Justin Marlo Namuco's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Justin Marlo Namuco enrolled in Medicare?

Yes. Justin Marlo Namuco is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Justin Marlo Namuco's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Justin Marlo Namuco reassigns Medicare benefits to 3 organizations: Epower Pt & Acupuncture PC (New York, NY), Solar Health Physical Therapy And Acupuncture P.C. (Brooklyn, NY) and Chung Ying Physical Therapy And Acupuncture PC (Brooklyn, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Justin Marlo Namuco's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Justin Marlo Namuco was last updated on August 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.