Organization Active NPI

Unified Neurological Restorative Therapies PC

  • Exclusive Provider Organization
  • New York, NY
National Provider Identifier
1306287123
Registry record updated Jul 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Exclusive Provider OrganizationTaxonomy code 302F00000X
License
157518 Issued in NY
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

Updated by the provider on Jul 9, 2013

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.