Active NPI
Nicola (Nick) Roselli, OTR.CHT
- Specialist
- Oakland GDNS, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 005312-1
- Practice address
- 5847 Francis Lewis Blvd Ste 200
Oakland GDNS, NY 11364-1601 - Phone
- (718) 454-0842
- Fax
- (718) 454-1704
- NPI assigned
- Jun 28, 2006
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | 005312-1 | NY | Primary |
Addresses
Primary practice location
5847 Francis Lewis Blvd Ste 200
Oakland GDNS, NY 11364-1601
Mailing address
5847 Francis Lewis Blvd Ste 200
Oakland GDNS, NY 11364-1601
Phone (718) 454-0842
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 113231115 | Other | NY | UNITEDHEALTHCARE |
| 5054447 | Other | NY | CIGNA |
| P439298 | Other | NY | OXFORD |
| 817707 | Other | NY | MPN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- State University of New York Downstate Medical Center, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5847 Francis Lewis Blvd
Suite 200
Oakland GDNS, NY 11364-1601
Phone (718) 454-0842
931 A Morris Park Ave
Bronx, NY 10462-3711
Phone (718) 822-4054
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 005312-1 | NY | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| NR-OT Hand Rehab PLLC | Specialist | Current | Accepting new patients |
| Bienetre Medical PC | Current | Accepting new patients | |
| Nrot Hand Rehab.PLLC | Current | Accepting new patients | |
| Nicola Roselli | Past | Accepting new patients | |
| Nicola Roselli | Past | Accepting new patients | |
| Nicola Roselli | Past | Accepting new patients |
Locations
931A Morris Park Ave
Bronx, NY 10462
Phone (718) 822-4054
2382 E 13th St
Brooklyn, NY 11229
Phone (718) 646-8787
6118 190th St
Ste 201
Fresh Meadows, NY 11365
Phone (718) 454-0842
99 Hudson St
Fl 5
New York, NY 10013
Phone (646) 301-2578
5847 Francis Lewis Blvd
Oakland Gardens, NY 11364
Phone (718) 224-6969
5847 Francis Lewis Blvd
Ste 200
Oakland Gdns, NY 11364
Phone (718) 454-0842
140 W Merrick Rd
Valley Stream, NY 11580
Phone (516) 888-7614
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Specialist
- Oakland Gardens, NY
- NPI 1093020257
-
- Customized Equipment (DME)
- Oakland Gardens, NY
- NPI 1881121515
-
- Customized Equipment (DME)
- Bronx, NY
- NPI 1063688471
-
dba Nick Roselli Occupational Therapy
- Customized Equipment (DME)
- Oakland Gardens, NY
- NPI 1790212421
-
- Customized Equipment (DME)
- Oakland Gardens, NY
- NPI 1851558878
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151452800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718064000000",
"number": "1427085885",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5847 FRANCIS LEWIS BLVD STE 200",
"city": "OAKLAND GDNS",
"state": "NY",
"postal_code": "113641601",
"telephone_number": "718-454-0842",
"fax_number": "718-454-1704"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5847 FRANCIS LEWIS BLVD STE 200",
"city": "OAKLAND GDNS",
"state": "NY",
"postal_code": "113641601",
"telephone_number": "718-454-0842",
"fax_number": "718-454-1704"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSELLI",
"first_name": "NICOLA (NICK)",
"name_prefix": "Mr.",
"credential": "OTR.CHT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-28",
"last_updated": "2024-06-11",
"certification_date": "2024-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": "005312-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITEDHEALTHCARE",
"identifier": "113231115",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "5054447",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "P439298",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MPN",
"identifier": "817707",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Oakland GDNS, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2024; 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.