Individual provider Active NPI

Rosemary Buttacavoli, TEACHER

  • Specialist
  • Patchogue, NY
National Provider Identifier
1093075137
Registry record updated Nov 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
575136111 Issued in NY
Practice address
149 Rosebud CT
Patchogue, NY 11772-4180
Phone
(516) 473-7128
NPI assigned
May 23, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 575136111 NY Primary

Addresses

Primary practice location

149 Rosebud CT
Patchogue, NY 11772-4180

Mailing address

149 Rosebud CT
Patchogue, NY 11772-4180
Phone (516) 473-7128

Other practice location 1

249 Thunder Rd
Holbrook, NY 11741-4437
Phone (516) 473-7128

Other names 1

  • Ms. Rosemary Espinal Other name

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
575136111NYMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1337731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732579200000",
    "number": "1093075137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "149 ROSEBUD CT",
            "city": "PATCHOGUE",
            "state": "NY",
            "postal_code": "117724180",
            "telephone_number": "516-473-7128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "149 ROSEBUD CT",
            "city": "PATCHOGUE",
            "state": "NY",
            "postal_code": "117724180",
            "telephone_number": "516-473-7128"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "249 Thunder Rd",
            "address_purpose": "LOCATION",
            "city": "Holbrook",
            "state": "NY",
            "postal_code": "117414437",
            "country_code": "US",
            "telephone_number": "516-473-7128",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUTTACAVOLI",
        "first_name": "ROSEMARY",
        "name_prefix": "Ms.",
        "credential": "TEACHER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-23",
        "last_updated": "2024-11-26",
        "certification_date": "2024-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "575136111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROSEMARY",
            "last_name": "ESPINAL",
            "prefix": "MS.",
            "credential": "TEACHER",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Patchogue, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2024; 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.