Joseph Nicholas Videtto, OTR/L

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

63 016221 Issued in NY

Practice address

800 Bushwick Ave
Brooklyn, NY 11221-3111

Phone

(646) 483-3595

NPI assigned

Mar 27, 2012

Last updated

Mar 27, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1332806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332806400000",
    "number": "1023384724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6329 77TH PL",
            "city": "MIDDLE VILLAGE",
            "state": "NY",
            "postal_code": "113791305",
            "telephone_number": "646-229-3016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 BUSHWICK AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112213111",
            "telephone_number": "646-483-3595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIDETTO",
        "first_name": "JOSEPH",
        "middle_name": "NICHOLAS",
        "name_prefix": "Mr.",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-03-27",
        "last_updated": "2012-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NY",
            "license": "63 016221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vida Pharmacy LLC
• Vida Pharmacy LLC
• Yelina Vidal
• Michelle S Vidale, TSLD
• Alexander Vidershayn
• Marianna Vidimsky
• Aparna Vidyaranyapuram Radhakrishna, MD
• Audrey Viechweg
• Jasmaine Vieira, LPN
• Jeffrey Vieira, MD

• Pediatric Occupational Therapist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Pediatric Occupational Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2012; 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.