NPIMap

Organization Active NPI

Peter a Chidichimo, PT,PC

  • Physical Therapy Clinic/Center
  • Hicksville, NY
National Provider Identifier
1467648675
Registry record updated Sep 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
006763 Issued in NY
Legal business name
PETER A CHIDICHIMO, PT,PC
Practice address
404 Jerusalem Ave
Hicksville, NY 11801-5504
Phone
(516) 931-7060
Fax
(516) 933-3609
NPI assigned
Sep 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2007

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

Authorized official

Name
Peter Chidichimo, PTNPI 1184729246
Title
President
Phone
(516) 931-7060

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 006763 NY Primary

Addresses

Primary practice location

404 Jerusalem Ave
Hicksville, NY 11801-5504

Mailing address

404 Jerusalem Ave
Hicksville, NY 11801-5504
Phone (516) 931-7060

National Provider Directory

National Provider Directory

Locations

404 Jerusalem Ave
Hicksville, NY 11801
Phone (516) 582-9800

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1190246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190246400000",
    "number": "1467648675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 JERUSALEM AVE",
            "city": "HICKSVILLE",
            "state": "NY",
            "postal_code": "118015504",
            "telephone_number": "516-931-7060",
            "fax_number": "516-933-3609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 JERUSALEM AVE",
            "city": "HICKSVILLE",
            "state": "NY",
            "postal_code": "118015504",
            "telephone_number": "516-931-7060",
            "fax_number": "516-933-3609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER A CHIDICHIMO, PT,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-20",
        "last_updated": "2007-09-20",
        "status": "A",
        "authorized_official_last_name": "CHIDICHIMO",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-931-7060",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NY",
            "license": "006763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hicksville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.