Individual provider Active NPI

James Cardello, PT

  • Physical Therapist
  • Brooklyn, NY
National Provider Identifier
1407922503
Registry record updated Aug 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
025387-1 Issued in NY
Practice address
9920 4TH Ave
Suite 102
Brooklyn, NY 11209
Phone
(718) 238-9873
Fax
(718) 238-9754
NPI assigned
Nov 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 025387-1 NY Primary

Addresses

Primary practice location

9920 4TH Ave
Suite 102
Brooklyn, NY 11209

Mailing address

31 New Dorp LN
Staten Island, NY 10306-2351
Phone (718) 370-3500

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040826000476 NY Practitioner - Physical Therapist in Private Practice 2466427281 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
025387-1NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
RB Physical and Occupational Therapy PLLC Physical Therapist CurrentSince May 15, 2017 Accepting new patients
Richard Bodian,PT Physical Therapist Past Accepting new patients

Locations

981 US Highway 22
Fl 2
Bridgewater, NJ 08807
Phone (908) 231-0511

4010 Avenue U
Brooklyn, NY 11234
Phone (718) 692-1155

17 Eastern Pkwy
Ste 6
Brooklyn, NY 11238
Phone (718) 370-9724

2133 Ralph Ave
Brooklyn, NY 11234
Phone (718) 451-1400

1 Hanson Pl
Ste 401
Brooklyn, NY 11243
Phone (718) 230-0631

9920 4th Ave
Ste 103
Brooklyn, NY 11209
Phone (718) 238-9873

9020 5th Ave
Brooklyn, NY 11209
Phone (718) 333-5120

4013 Avenue U
Brooklyn, NY 11234
Phone (718) 692-0949

1351 Forest Ave
Staten Island, NY 10302
Phone (718) 390-0060

33 Richmond Hill Rd
Staten Island, NY 10314
Phone (718) 982-5358

31 New Dorp Ln
Staten Island, NY 10306
Phone (718) 370-3500

4363 Amboy Rd
Staten Island, NY 10312
Phone (718) 967-3900

1243 Woodrow Rd
Unit 323
Staten Island, NY 10309
Phone (718) 844-5350

Organizations & group practices 2

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": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533254400000",
    "number": "1407922503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 NEW DORP LN",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103062351",
            "telephone_number": "718-370-3500",
            "fax_number": "718-979-5236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9920 4TH AVE",
            "address_2": "SUITE 102",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11209",
            "telephone_number": "718-238-9873",
            "fax_number": "718-238-9754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARDELLO",
        "first_name": "JAMES",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-28",
        "last_updated": "2018-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "025387-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2018; 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.