Organization Active NPI

Mary Cardello PT PC

  • Physical Therapist
  • Bay Shore, NY
National Provider Identifier
1366850083
Registry record updated Oct 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
0134091 Issued in NY
Legal business name
MARY CARDELLO PT PC
Practice address
41 Saxon Ave
Bay Shore, NY 11706-7021
Phone
(631) 665-4448
Fax
(888) 483-0941
NPI assigned
Jul 25, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2014

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

Authorized official

Name
Sandy Aromando
Title
Billing Manager
Phone
(516) 459-1786

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 0134091 NY Primary

Addresses

Primary practice location

41 Saxon Ave
Bay Shore, NY 11706-7021

Mailing address

41 Saxon Ave
Bay Shore, NY 11706-7021
Phone (631) 665-4448

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150219000421 NY Part B Supplier - Clinic/Group Practice 1557686300 Receives reassigned benefits from 1 practitioner
Practice locations: Bay Shore, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1406246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414540800000",
    "number": "1366850083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 SAXON AVE",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117067021",
            "telephone_number": "631-665-4448",
            "fax_number": "888-483-0941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 SAXON AVE",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117067021",
            "telephone_number": "631-665-4448",
            "fax_number": "888-483-0941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY CARDELLO PT PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-25",
        "last_updated": "2014-10-29",
        "status": "A",
        "authorized_official_last_name": "AROMANDO",
        "authorized_official_first_name": "SANDY",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "516-459-1786"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "0134091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bay Shore, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.