JULIE ANNE GARGOLLO HERVIAS NPI 1881849164

Physical Therapist in New York, NY

NPI 1881849164 Individual Female Years of Experience 7 Physical Therapist Accepts Medicare Approved Payment

NPI Profile for JULIE ANNE GARGOLLO HERVIAS

Julie Anne Hervias is a provider established in New York, New York and her medical specialization is physical therapist with more than 7 years of experience. The NPI number of Julie Anne Hervias is 1881849164 and was assigned on December 2008. The practitioner's primary taxonomy code is 225100000X with license number 027721 (NY). The provider is registered as an individual and her NPI record was last updated 14 years ago. Julie Anne Hervias is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

The typical physician office visit costs for Medicare beneficiaries in this area are: $39.54 for a new patient copayment and $21.49 for an established patient copayment.

NPI

1881849164

Provider Name JULIE ANNE GARGOLLO HERVIAS
Provider Location Address116 W 32ND ST 8TH FLOOR NEW YORK, NY 10001
Provider Mailing Address189 HECKEL ST BELLEVILLE, NJ 07109
GenderFemale
NPI Entity TypeIndividual
Medical School NameOTHER
Graduation Year2016
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date12-01-2008
Last Update Date12-01-2008


Primary Taxonomy

Taxonomy Code225100000X
ClassificationPhysical Therapist
TypeRespiratory, Developmental, Rehabilitative and Restorative Service Providers
License No.027721
License StateNY
Taxonomy DescriptionPhysical 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.

Business Address

JULIE ANNE GARGOLLO HERVIAS
116 W 32ND ST
8TH FLOOR
NEW YORK, NY
ZIP 10001
Phone: (212) 564-2350
Fax: (212) 564-5896

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Mailing Address

JULIE ANNE GARGOLLO HERVIAS
189 HECKEL ST
BELLEVILLE, NJ
ZIP 07109
Phone: (718) 772-3062



PECOS Enrollment and Medicare Participation

What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.

PECOS PAC ID5294143830
PECOS Enrollment IDI20210420000517
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

Physician Office Visit Costs

The provider accepts as payment the Medicare approved amount. Medicare beneficiaries should not be billed for more than the Medicare deductible and coinsurance amounts. Medicare pricing is usually a reference point for private insurance covered patients. The prices below reflect the costs for new and established patients in the 10001 ZIP code area.

New Patients Office Visits Costs *
Most Utilized Procedure Code for new patients office visits: 99204
Minimum New Patient Pricing Maximum New Patient Pricing Typical New Patient Pricing
$69.45 $208.72 $158.18
Minimum New Patient Copayment Maximum New Patient Copayment Typical New Patient Copayment
$17.36 $52.18 $39.54
Established Patients Office Visits Costs *
Most Utilized Procedure Code for established patients office visits: 99213
Minimum Established Patient Pricing Maximum Established Patient Pricing Typical Established Patient Pricing
$21.65 $169.66 $85.96
Minimum Established Patient Copayment Maximum Established Patient Copayment Typical Established Patient Copayment
$5.41 $42.41 $21.49

* The physician office visit costs information is obtained by Medicare's statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

NPI Validation Check Digit Calculation


The following table explains step by step the NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1881849164
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2816116418112
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 8 + 1 + 6 + 1 + 1 + 6 + 4 + 1 + 8 + 1 + 1 + 2 + 24 = 66
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 66 = 44

The NPI number 1881849164 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1528113974THERACARE OF NEW YORK INC
Organization
Early Intervention Provider Agency116 W 32ND ST 8TH FLOOR
NEW YORK, NY 10001
(212) 564-2350
1932352770MS. LAURA BOURHANA
Individual
Speech-Language Pathologist116 W 32ND ST 8TH FLOOR
NEW YORK, NY 10001
(917) 597-2074
1669626958 JOHANNE DELA CRUZ ARNALDO PT
Individual
Physical Therapist116 W 32ND ST 8TH FLOOR
NEW YORK, NY 10001
(212) 564-2350
1295989598 COLLEEN A. SCHALK MS, OTR/L, CLT
Individual
Occupational Therapist116 W 32ND ST 8TH FLOOR
NEW YORK, NY 10001
(212) 564-2350
1225283252MRS. DONNA MARIE DITTA M.A.,CCC-SLP
Individual
Speech-Language Pathologist116 W 32ND ST 8TH FLOOR
NEW YORK, NY 10001
(212) 564-2350
1801041868MS. LAURA JEAN BERMAN M.A.,C.C.C.,SLP
Individual
Speech-Language Pathologist116 W 32ND ST 8TH FLOOR
NEW YORK, NY 10001
(212) 564-2350
1023263142 LAURENCE KLEINMAN
Individual
Speech-Language Pathologist116 W 32ND ST 18TH FLOOR
NEW YORK, NY 10001
(212) 564-2650
1144475088 CHRISTY LYNN HUBBARD-FERNANDEZ M.S. CCC/SLP
Individual
Speech-Language Pathologist116 W 32ND ST 8TH FLOOR
NEW YORK, NY 10001
(631) 851-9473
1639324403 JULIA MARIANA WEISBACH
Individual
Speech-Language Pathologist116 W 32ND ST 8TH FLOOR
NEW YORK, NY 10001
(917) 710-2755
1528213089 CHERYL BELZER
Individual
Speech-Language Pathologist116 W 32ND ST
NEW YORK, NY 10001
(212) 564-2350
1598910846MS. JENNIFER LYNN VONFELDT CCC-SLP
Individual
Speech-Language Pathologist116 W 32ND ST 8TH FLOOR
NEW YORK, NY 10001
(212) 564-2350
1356596621MRS. HEATHER LYNN BOERNER M.A., CCC/SLP
Individual
Speech-Language Pathologist116 W 32ND ST 8TH FL
NEW YORK, NY 10001
(212) 564-2350
1073758108MS. SOCORRO ALTAGRACIA TAVERAS
Individual
Social Worker116 W 32ND ST
NEW YORK, NY 10001
(212) 564-2350
1467697185MRS. MICHELLE AKINS INDERWIES OTR
Individual
Occupational Therapist116 W 32ND ST 8TH FLOOR
NEW YORK, NY 10001
(212) 564-2350
1639315823MS. JULIE ANNE TRANCE MS, CCC-SLP, TSHH
Individual
Speech-Language Pathologist116 W 32ND ST 8TH FL.
NEW YORK, NY 10001
(917) 656-4237
1275779209 HEATHER LAVENBURG
Individual
Occupational Therapist116 W 32ND ST
NEW YORK, NY 10001
(212) 564-2350
1134365158 NATHALIE SCHWOB OTR
Individual
Occupational Therapist116 W 32ND ST 8TH FLOOR
NEW YORK, NY 10001
(212) 564-2350
1467698415 BERTHA MARY BRACKEN LMSW
Individual
Social Worker (Clinical)116 W 32ND ST
NEW YORK, NY 10001
(212) 564-2350
1861638892 KATALIN MADARAZ SLP
Individual
Speech-Language Pathologist116 W 32ND ST 8TH FLOOR
NEW YORK, NY 10001
(212) 564-2350
1669618690 ANDREA MORRIS
Individual
Occupational Therapist116 W 32ND ST 8TH FLOOR
NEW YORK, NY 10001
(212) 564-2350

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
Julie Anne Gargollo Hervias is registered as an entity type code: 1. The entity type code describes the type of health care provider that is being assigned an NPI. The entity type codes are:

  • 1 = Person: individual human being who furnishes health care.
  • 2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.