Individual provider Active NPI

Marcelo Taiano, SI

  • In Home Supportive Care Agency
  • Dobbs Ferry, NY
National Provider Identifier
1073759858
Registry record updated Dec 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
14980 Issued in NY
Practice address
100 Cedar St
B-34
Dobbs Ferry, NY 10522-1016
Phone
(914) 693-1480
NPI assigned
Dec 27, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 27, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 14980 NY Primary

Addresses

Primary practice location

100 Cedar St
B-34
Dobbs Ferry, NY 10522-1016

Mailing address

100 Cedar St
B-34
Dobbs Ferry, NY 10522-1016
Phone (914) 693-1480

Other identifiers 1

IdentifierTypeStateIssuer
931031101OtherNYGHI

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

State licenses

LicenseStateTypeSpecialty
14980NYMDIn Home Supportive Care Agency

NPI Registry JSON

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

{
    "created_epoch": "1230336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1230336000000",
    "number": "1073759858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 CEDAR ST",
            "address_2": "B-34",
            "city": "DOBBS FERRY",
            "state": "NY",
            "postal_code": "105221016",
            "telephone_number": "914-693-1480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CEDAR ST",
            "address_2": "B-34",
            "city": "DOBBS FERRY",
            "state": "NY",
            "postal_code": "105221016",
            "telephone_number": "914-693-1480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAIANO",
        "first_name": "MARCELO",
        "credential": "SI",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-12-27",
        "last_updated": "2008-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NY",
            "license": "14980",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "931031101",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dobbs Ferry, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2008; 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.