Individual provider Active NPI

Salvatore F Nicolette Sr., R.T.(R), R.D.M.S,

  • Vascular Sonography Radiologic Technologist
  • Deerfield, NY
National Provider Identifier
1043354293
Registry record updated Jul 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Sonography Radiologic TechnologistTaxonomy code 2471V0105X
License
239674 Issued in NY
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

Updated by the provider on Jul 25, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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.

Verify at the official NPI Registry.