Organization Active NPI

Raul P. Sala, MD, PC

  • Physical Medicine & Rehabilitation Physician
  • Staten Island, NY
National Provider Identifier
1497064372
Registry record updated Sep 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
1077171B Issued in NY
Legal business name
RAUL P. SALA, MD, PC
Practice address
11 Ralph PL
Suite 112
Staten Island, NY 10304-4401
Phone
(718) 273-8888
Fax
(718) 727-0971
NPI assigned
Sep 27, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2010

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

Authorized official

Name
Dr. Raul Perez Sala, MD
Title
Owner
Phone
(718) 273-8888

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X 1077171B NY Primary

Addresses

Primary practice location

11 Ralph PL
Suite 112
Staten Island, NY 10304-4401

Mailing address

11 Ralph PL
Suite 112
Staten Island, NY 10304-4401
Phone (718) 273-8888

Other identifiers 1

IdentifierTypeStateIssuer
00189937MedicaidNY

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1285545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285545600000",
    "number": "1497064372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 RALPH PL",
            "address_2": "SUITE 112",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103044401",
            "telephone_number": "718-273-8888",
            "fax_number": "718-727-0971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 RALPH PL",
            "address_2": "SUITE 112",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103044401",
            "telephone_number": "718-273-8888",
            "fax_number": "718-727-0971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAUL P. SALA, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-27",
        "last_updated": "2010-09-27",
        "status": "A",
        "authorized_official_last_name": "SALA",
        "authorized_official_first_name": "RAUL",
        "authorized_official_middle_name": "PEREZ",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-273-8888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "1077171B",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00189937",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2010; 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.