Organization Active NPI

Michael Piccarelli DPM

  • Podiatrist
  • Staten Island, NY
National Provider Identifier
1235101932
Registry record updated Jan 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
N006042 Issued in NY
Legal business name
MICHAEL PICCARELLI DPM
Practice address
1478 Victory Blvd
Staten Island, NY 10301-3915
Phone
(718) 273-0123
NPI assigned
Feb 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2012

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

Authorized official

Name
Michael Piccarelli
Title
Self Proprieter
Phone
(718) 273-0123

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X N006042 NY Primary

Addresses

Primary practice location

1478 Victory Blvd
Staten Island, NY 10301-3915

Mailing address

1478 Victory Blvd
Staten Island, NY 10301-3915

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1139184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327363200000",
    "number": "1235101932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1478 VICTORY BLVD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103013915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1478 VICTORY BLVD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103013915",
            "telephone_number": "718-273-0123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL PICCARELLI DPM",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-06",
        "last_updated": "2012-01-24",
        "status": "A",
        "authorized_official_last_name": "PICCARELLI",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "SELF PROPRIETER",
        "authorized_official_telephone_number": "718-273-0123"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N006042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jan 24, 2012; 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.