Individual provider Active NPI

Joseph B Saraceno, PT

  • Physical Therapist
  • Staten Island, NY
National Provider Identifier
1023184199
Registry record updated Apr 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
019290-1 Issued in NY
Practice address
31 New Dorp LN
Staten Island, NY 10306-2322
Phone
(718) 979-4466
Fax
(718) 979-5236
NPI assigned
Nov 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2013

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 019290-1 NY Primary

Addresses

Primary practice location

31 New Dorp LN
Staten Island, NY 10306-2322

Mailing address

31 New Dorp LN
Suite B102
Staten Island, NY 10306-2351
Phone (718) 370-3500

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
019290-1NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
RB Physical and Occupational Therapy PLLC Physical Therapist CurrentSince Jan 2, 2018 Accepting new patients

Locations

981 US Highway 22
Fl 2
Bridgewater, NJ 08807
Phone (908) 231-0511

2133 Ralph Ave
Brooklyn, NY 11234
Phone (718) 451-1400

1 Hanson Pl
Ste 401
Brooklyn, NY 11243
Phone (718) 230-0631

9920 4th Ave
Ste 103
Brooklyn, NY 11209
Phone (718) 238-9873

4013 Avenue U
Brooklyn, NY 11234
Phone (718) 692-0949

201 E 21st St
Apt 1B
New York, NY 10010
Phone (212) 353-5029

33 Richmond Hill Rd
Staten Island, NY 10314
Phone (718) 982-5358

1243 Woodrow Rd
Ste 321
Staten Island, NY 10309

31 New Dorp Ln
Staten Island, NY 10306
Phone (718) 370-3500

1351 Forest Ave
Staten Island, NY 10302
Phone (718) 390-0060

31 New Dorp Ln
Ste B102
Staten Island, NY 10306

1243 Woodrow Rd
Unit 323
Staten Island, NY 10309
Phone (718) 844-5350

Organizations & group practices 1

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": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365379200000",
    "number": "1023184199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 NEW DORP LN",
            "address_2": "SUITE B102",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103062351",
            "telephone_number": "718-370-3500",
            "fax_number": "718-979-5236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 NEW DORP LN",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103062322",
            "telephone_number": "718-979-4466",
            "fax_number": "718-979-5236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SARACENO",
        "first_name": "JOSEPH",
        "middle_name": "B",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-28",
        "last_updated": "2013-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "019290-1",
            "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 Apr 8, 2013; 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.