Individual provider Active NPI

David J Marcello

  • Physical Therapist
  • North Bellmore, NY
National Provider Identifier
1427014141
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
011281 Issued in NY
Practice address
1651 Bellmore Ave
North Bellmore, NY 11710-5526
Phone
(516) 781-1085
Fax
(516) 781-1013
NPI assigned
Apr 21, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 5

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.

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Therapeutic Solutions Physical Therapy PLLC 4 clinicians

Practice addresses (Care Compare)

1757 Merrick Ave
Suite 100
N Merrick, NY 11566-2717
Phone (516) 623-4388

Medicare participation

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

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20051006000098 NY Practitioner - Physical Therapist in Private Practice 5496770729 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles (5 of 9)

OrganizationSpecialtyStatusNew patients
Therapeutic Solutions Physical Therapy, PLLC Physical Therapist CurrentSince Jun 18, 2009 Accepting new patients
Advantage PT Health Consulting PC Physical Therapist CurrentSince Feb 24, 2015 Accepting new patients
Achieve Physical Therapy and Wellness Physical Therapist CurrentSince Dec 5, 2006 Accepting new patients
Weigh of Life Dietetic Nutrition Consulting PLLC PastSince Nov 15, 2012 Accepting new patients
Nassau Sports Care Physical Therapy P.C. Physical Therapist Past Accepting new patients

Locations

1757 Merrick Ave
Ste 100
North Merrick, NY 11566
Phone (516) 474-9585

945 Broadway
Woodmere, NY 11598
Phone (516) 374-5310

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 011281 NY Primary

Addresses

NPPES NPI Registry

Primary practice location

1651 Bellmore Ave
North Bellmore, NY 11710-5526

Mailing address

1811 Frederick Ave
Merrick, NY 11566-2911
Phone (516) 992-2670

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1145577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1427014141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1811 FREDERICK AVE",
            "city": "MERRICK",
            "state": "NY",
            "postal_code": "115662911",
            "telephone_number": "516-992-2670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1651 BELLMORE AVE",
            "city": "NORTH BELLMORE",
            "state": "NY",
            "postal_code": "117105526",
            "telephone_number": "516-781-1085",
            "fax_number": "516-781-1013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCELLO",
        "first_name": "DAVID",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "011281",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Bellmore, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.