Organization Active NPI

NR-OT Hand Rehab PLLC

  • Specialist
  • Oakland Gardens, NY
National Provider Identifier
1093020257
Registry record updated Jun 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
0053121 Issued in NY
Legal business name
NR-OT HAND REHAB PLLC
Practice address
5847 Francis Lewis Blvd Ste 200
Oakland Gardens, NY 11364-1601
Phone
(718) 454-0842
Fax
(718) 454-1704
NPI assigned
Aug 12, 2010
Last updated
Jun 11, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2024

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

Authorized official

Name
Mr. Nicola Roselli, OTR.CHT
Title
Owner
Phone
(718) 454-0842

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X 0053121 NY Primary
Durable Medical Equipment & Medical Supplies 332B00000X 0053121 NY

Addresses

Primary practice location

5847 Francis Lewis Blvd Ste 200
Oakland Gardens, NY 11364-1601

Mailing address

5847 Francis Lewis Blvd Ste 200
Oakland Gardens, NY 11364-1601
Phone (718) 454-0842

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111116000526 NY Part B Supplier - Clinic/Group Practice 0941474522 Receives reassigned benefits from 3 practitioners
Practice locations: Bronx, NY; Oakland GDNS, NY; Valley Stream, NY

National Provider Directory

National Provider Directory
Tax ID family
NR OT Hand Rehab2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

115 Main St
Tuckahoe, NY 10707
Phone (914) 793-1234

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1281571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718064000000",
    "number": "1093020257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5847 FRANCIS LEWIS BLVD STE 200",
            "city": "OAKLAND GARDENS",
            "state": "NY",
            "postal_code": "113641601",
            "telephone_number": "718-454-0842",
            "fax_number": "718-454-1704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5847 FRANCIS LEWIS BLVD STE 200",
            "city": "OAKLAND GARDENS",
            "state": "NY",
            "postal_code": "113641601",
            "telephone_number": "718-454-0842",
            "fax_number": "718-454-1704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NR-OT HAND REHAB PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-12",
        "last_updated": "2024-06-11",
        "certification_date": "2024-06-11",
        "status": "A",
        "authorized_official_last_name": "ROSELLI",
        "authorized_official_first_name": "NICOLA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-454-0842",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OTR.CHT"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "0053121",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NY",
            "license": "0053121",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland Gardens, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.