Individual provider Active NPI

Nicola (Nick) Roselli, OTR.CHT

  • Specialist
  • Oakland GDNS, NY
National Provider Identifier
1427085885
Registry record updated Jun 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
005312-1 Issued in NY
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

Updated by the provider on Jun 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
113231115OtherNYUNITEDHEALTHCARE
5054447OtherNYCIGNA
P439298OtherNYOXFORD
817707OtherNYMPN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111004000468 NY Practitioner - Occupational Therapist in Private Practice 7810010857 Reassigns benefits to 2 organizations
Practice locations: Bronx, NY; Oakland GDNS, NY

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
NR-OT Hand Rehab PLLCGroup PAC ID 0941474522, 2 clinicians

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

LicenseStateTypeSpecialty
005312-1NYMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
NR-OT Hand Rehab PLLC Specialist CurrentSince Nov 2, 2011 Accepting new patients
Bienetre Medical PC CurrentSince Dec 1, 2025 Accepting new patients
Nrot Hand Rehab.PLLC Current Accepting new patients
Nicola Roselli PastSince Nov 26, 1996 Accepting new patients
Nicola Roselli PastSince Nov 26, 1996 Accepting new patients
Nicola Roselli PastSince Nov 26, 1996 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.

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.

Verify at the official NPI Registry.