Individual provider Active NPI

Joshua Neal Petraglia

  • Specialist
  • Staten Island, NY
National Provider Identifier
1013854447
Registry record updated May 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Practice address
1250 Hylan Blvd Ste 9B1
Staten Island, NY 10305-1945
Phone
(917) 397-8947
NPI assigned
May 4, 2026
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X NY Primary

Addresses

Primary practice location

1250 Hylan Blvd Ste 9B1
Staten Island, NY 10305-1945

Mailing address

18 Valdemar Ave
Staten Island, NY 10309-3021
Phone (917) 588-5617

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1777852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777852800000",
    "number": "1013854447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 VALDEMAR AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103093021",
            "telephone_number": "917-588-5617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 HYLAN BLVD STE 9B1",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103051945",
            "telephone_number": "917-397-8947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETRAGLIA",
        "first_name": "JOSHUA",
        "middle_name": "NEAL",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-05-04",
        "last_updated": "2026-05-04",
        "certification_date": "2026-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.