NPIMap

Organization Active NPI

Choice Spine Joint & Neurology,PC

  • Physical Therapist
  • Rocky Point, NY
National Provider Identifier
1114124161
Registry record updated Aug 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
160146 Issued in NY
Legal business name
CHOICE SPINE JOINT & NEUROLOGY,PC
Practice address
799 Route 25a
Rocky Point, NY 11778-8564
Phone
(631) 744-4777
Fax
(631) 744-3220
NPI assigned
Jul 2, 2007
Last updated
Aug 30, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2013

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

Authorized official

Name
Dr. John Ricciardelli, M.D.
Title
President
Phone
(631) 744-4777

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 160146 NY Primary

Addresses

Primary practice location

799 Route 25a
Rocky Point, NY 11778-8564

Mailing address

799 Route 25a
Rocky Point, NY 11778-8564
Phone (631) 744-4777

National Provider Directory

National Provider Directory

Locations

799 Route 25A
Rocky Point, NY 11778
Phone (631) 744-4688

Practitioners & affiliated clinicians

Practitioners 10

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": "1183334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377820800000",
    "number": "1114124161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "799 ROUTE 25A",
            "city": "ROCKY POINT",
            "state": "NY",
            "postal_code": "117788564",
            "telephone_number": "631-744-4777",
            "fax_number": "631-744-3220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "799 ROUTE 25A",
            "city": "ROCKY POINT",
            "state": "NY",
            "postal_code": "117788564",
            "telephone_number": "631-744-4777",
            "fax_number": "631-744-3220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHOICE SPINE JOINT & NEUROLOGY,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-02",
        "last_updated": "2013-08-30",
        "status": "A",
        "authorized_official_last_name": "RICCIARDELLI",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-744-4777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "160146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rocky Point, NY

Sources for this page

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