Individual provider Active NPI

Rocco Denobile Jr., P.T

  • Specialist
  • Bronx, NY
National Provider Identifier
1114095759
Registry record updated Mar 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
026937-1 Issued in NY
Practice address
3117 Buhre Ave
Bronx, NY 10461-4738
Phone
(718) 822-2281
Fax
(718) 597-8485
NPI assigned
Dec 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 026937-1 NY Primary

Addresses

Primary practice location

3117 Buhre Ave
Bronx, NY 10461-4738

Mailing address

3611 E Tremont Ave
Bronx, NY 10465-2009
Phone (718) 904-9581

Other identifiers 1

IdentifierTypeStateIssuer
133586197OtherNYTAX ID#

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
026937-1NYMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
New Rochelle Physical Therapy Specialist Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301443200000",
    "number": "1114095759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3611 E TREMONT AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104652009",
            "telephone_number": "718-904-9581",
            "fax_number": "718-931-0125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3117 BUHRE AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104614738",
            "telephone_number": "718-822-2281",
            "fax_number": "718-597-8485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENOBILE",
        "first_name": "ROCCO",
        "name_suffix": "Jr.",
        "credential": "P.T",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-01",
        "last_updated": "2011-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "026937-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID#",
            "identifier": "133586197",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2011; 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.