Active NPI
Salvatore F Nicolette Sr., R.T.(R), R.D.M.S,
- Vascular Sonography Radiologic Technologist
- Deerfield, NY
National Provider Identifier
1043354293
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Sonography Radiologic Technologist
- License
- 239674
- Practice address
- 14 Kraft Dr
Deerfield, NY 13502-1126 - Phone
- (315) 733-8393
- NPI assigned
- Feb 19, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Sonography Radiologic Technologist | 2471V0105X | 239674 | NY | Primary |
| Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 335V00000X | NY |
Addresses
Primary practice location
14 Kraft Dr
Deerfield, NY 13502-1126
Mailing address
14 Kraft Dr
Deerfield, NY 13502-1126
Phone (315) 733-8393
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": "1171843200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1374710400000",
"number": "1043354293",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14 KRAFT DR",
"city": "DEERFIELD",
"state": "NY",
"postal_code": "135021126",
"telephone_number": "315-733-8393"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14 KRAFT DR",
"city": "DEERFIELD",
"state": "NY",
"postal_code": "135021126",
"telephone_number": "315-733-8393"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NICOLETTE",
"first_name": "SALVATORE",
"middle_name": "F",
"name_suffix": "Sr.",
"credential": "R.T.(R), R.D.M.S,",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-19",
"last_updated": "2013-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "2471V0105X",
"taxonomy_group": "",
"desc": "Radiologic Technologist, Vascular Sonography",
"state": "NY",
"license": "239674",
"primary": true
},
{
"code": "335V00000X",
"taxonomy_group": "",
"desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
"state": "NY",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Deerfield, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 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.