Active NPI
Sal Verzino
- Health Educator
- Selden, NY
National Provider Identifier
1326343500
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Educator
- License
- MMIS 02249154
- Practice address
- 24 Magnolia Dr
Selden, NY 11784-2042 - Phone
- (631) 275-6562
- NPI assigned
- Jan 19, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Educator | 174H00000X | MMIS 02249154 | NY | Primary |
Addresses
Primary practice location
24 Magnolia Dr
Selden, NY 11784-2042
Mailing address
24 Magnolia Dr
Selden, NY 11784-2042
Phone (631) 275-6562
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02249154 | Other | NY | MMIS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MMIS 02249154 | NY | MD | Health Educator |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1295395200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1295395200000",
"number": "1326343500",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24 MAGNOLIA DR",
"city": "SELDEN",
"state": "NY",
"postal_code": "117842042",
"telephone_number": "631-275-6562"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24 MAGNOLIA DR",
"city": "SELDEN",
"state": "NY",
"postal_code": "117842042",
"telephone_number": "631-275-6562"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VERZINO",
"first_name": "SAL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-01-19",
"last_updated": "2011-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "174H00000X",
"taxonomy_group": "",
"desc": "Health Educator",
"state": "NY",
"license": "MMIS 02249154",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MMIS",
"identifier": "02249154",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Selden, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.