Individual provider Active NPI

Michael Saraceno, OTR/L, CHT

  • Occupational Therapist
  • Staten Island, NY
National Provider Identifier
1316976418
Registry record updated Sep 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT19566 Issued in FL
Practice address
2372 Victory Blvd
Staten Island, NY 10314-6607
Phone
(718) 698-9800
Fax
(718) 698-9820
NPI assigned
Jul 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2020

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 0090981 NY
Hand Occupational Therapist 225XH1200X 0090981 NY
Neurorehabilitation Occupational Therapist 225XN1300X 0090981 NY
Occupational Therapist 225X00000X OT19566 FL Primary

Addresses

Primary practice location

2372 Victory Blvd
Staten Island, NY 10314-6607

Mailing address

334 176TH Avenue Cir
Redington Shores, FL 33708-1225
Phone (917) 698-7584

Other identifiers 6

IdentifierTypeStateIssuer
20022047OtherNYUNITED HEALTHCARE
009098OtherNYHIP
1699738OtherNYGHI
7070452OtherNYAETNA
P2739398OtherNYOXFORD
QS7731OtherNYBLUECROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 1998
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1155 35H Lane
Suite 100
Vero Beach, FL 32958

Merit-based Incentive Payment System (MIPS)

Final score
85.95 of 100Reported as group
Quality
82.89
Promoting interoperability
98
Improvement activities
40
Cost
71.95

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OT19566FLMDOccupational Therapist
0090981NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Vero Orthopaedics II PA CurrentSince Oct 5, 2020 Accepting new patients
Advanced Hand & Occupational Therapy, PC Current Accepting new patients
Vero Orthopaedics II PA PastSince Aug 28, 2021 Accepting new patients

Locations

801 Wellness Way
Ste 100
Sebastian, FL 32958
Phone (772) 388-9510

3955 Indian River Blvd
Ste 100
Vero Beach, FL 32960
Phone (772) 569-2330

1155 35th Ln
Ste 100
Vero Beach, FL 32960
Phone (772) 569-2330

2372 Victory Blvd
Staten Island, NY 10314
Phone (718) 761-3700

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: michael.saraceno.p1@direct.veroortho.nextgenshare.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1151712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599955200000",
    "number": "1316976418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "334 176TH AVENUE CIR",
            "city": "REDINGTON SHORES",
            "state": "FL",
            "postal_code": "337081225",
            "telephone_number": "917-698-7584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2372 VICTORY BLVD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103146607",
            "telephone_number": "718-698-9800",
            "fax_number": "718-698-9820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SARACENO",
        "first_name": "MICHAEL",
        "name_prefix": "Prof.",
        "credential": "OTR/L, CHT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-01",
        "last_updated": "2020-09-13",
        "certification_date": "2020-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "0090981",
            "primary": false
        },
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "NY",
            "license": "0090981",
            "primary": false
        },
        {
            "code": "225XN1300X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Neurorehabilitation",
            "state": "NY",
            "license": "0090981",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT19566",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "20022047",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIP",
            "identifier": "009098",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "1699738",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7070452",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P2739398",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUE SHIELD",
            "identifier": "QS7731",
            "state": "NY"
        }
    ],
    "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 Sep 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.