Organization Active NPI

Pesce Inc.

  • Physical Therapist
  • Staten Island, NY
National Provider Identifier
1134394802
Registry record updated Apr 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
018380-1 Issued in NY
Legal business name
PESCE INC.
Doing business as
STATEN ISLAND REHAB GROUP
Practice address
116 Royal Oak Rd
Staten Island, NY 10314-2519
Phone
(718) 701-0626
Fax
(718) 989-9234
NPI assigned
Apr 24, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2008

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

Authorized official

Name
Mr. Philip Salvatore Pesce, MS,PT
Title
Owner
Phone
(718) 701-0626

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 018380-1 NY Primary

Addresses

Primary practice location

116 Royal Oak Rd
Staten Island, NY 10314-2519

Mailing address

116 Royal Oak Rd
Staten Island, NY 10314-2519
Phone (718) 701-0626

Other names 1

  • STATEN ISLAND REHAB GROUP Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1208995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208995200000",
    "number": "1134394802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 ROYAL OAK RD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103142519",
            "telephone_number": "718-701-0626",
            "fax_number": "718-989-9234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 ROYAL OAK RD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103142519",
            "telephone_number": "718-701-0626",
            "fax_number": "718-989-9234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PESCE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-24",
        "last_updated": "2008-04-24",
        "status": "A",
        "authorized_official_last_name": "PESCE",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_middle_name": "SALVATORE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-701-0626",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MS,PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "018380-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "STATEN ISLAND REHAB GROUP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 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.