Active NPI
Unified Neurological Restorative Therapies PC
- Exclusive Provider Organization
- New York, NY
National Provider Identifier
1306287123
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Exclusive Provider Organization
- License
- 157518
- Legal business name
- UNIFIED NEUROLOGICAL RESTORATIVE THERAPIES PC
- Practice address
- 353 Lexington Ave RM 1001
New York, NY 10016-0941 - Phone
- (212) 983-1370
- NPI assigned
- Jul 9, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Enrico Fazzini, D.O.
- Title
- President
- Phone
- (212) 983-1370
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Exclusive Provider Organization | 302F00000X | 157518 | NY | Primary |
Addresses
Primary practice location
353 Lexington Ave RM 1001
New York, NY 10016-0941
Mailing address
353 Lexington Ave RM 1001
New York, NY 10016-0941
Phone (212) 983-1370
National Provider Directory
National Provider DirectoryLocations
353 Lexington Ave
Rm 1001
New York, NY 10016
Phone (212) 983-1370
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1373328000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1373328000000",
"number": "1306287123",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "353 LEXINGTON AVE RM 1001",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100160941",
"telephone_number": "212-983-1370"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "353 LEXINGTON AVE RM 1001",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100160941",
"telephone_number": "212-983-1370"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UNIFIED NEUROLOGICAL RESTORATIVE THERAPIES PC",
"organizational_subpart": "NO",
"enumeration_date": "2013-07-09",
"last_updated": "2013-07-09",
"status": "A",
"authorized_official_last_name": "FAZZINI",
"authorized_official_first_name": "ENRICO",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "212-983-1370",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "302F00000X",
"taxonomy_group": "",
"desc": "Exclusive Provider Organization",
"state": "NY",
"license": "157518",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.