Active NPI
Robert Vincent Giudice, MS, OTR/L
- Physical Rehabilitation Occupational Therapist
- East Northport, NY
National Provider Identifier
1407085897
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Rehabilitation Occupational Therapist
- License
- 013716-1
- Practice address
- 212 1St St
East Northport, NY 11731-3508 - Phone
- (631) 398-9675
- NPI assigned
- Jul 7, 2009
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Physical Rehabilitation Occupational Therapist | 225XP0019X | 013716-1 | NY | Primary |
Addresses
Primary practice location
212 1St St
East Northport, NY 11731-3508
Mailing address
212 1St St
East Northport, NY 11731-3508
Phone (631) 398-9675
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)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 013716 | NY | MD | Mental Health Counselor |
| 013716-1 | NY | MD | Physical Rehabilitation Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1246924800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1246924800000",
"number": "1407085897",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "212 1ST ST",
"city": "EAST NORTHPORT",
"state": "NY",
"postal_code": "117313508",
"telephone_number": "631-398-9675"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "212 1ST ST",
"city": "EAST NORTHPORT",
"state": "NY",
"postal_code": "117313508",
"telephone_number": "631-398-9675"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIUDICE",
"first_name": "ROBERT",
"middle_name": "VINCENT",
"name_prefix": "Mr.",
"credential": "MS, OTR/L",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-07-07",
"last_updated": "2009-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0019X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Physical Rehabilitation",
"state": "NY",
"license": "013716-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in East Northport, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.