Stephen Thomas Pezzolla, NY STATE TEACHER CER

Primary specialty

Rehabilitation CounselorTaxonomy code 225C00000X

Practice address

334 Krumkill Rd
Slingerlands, NY 12159-9303

Phone

(518) 459-0750

NPI assigned

Dec 28, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Certificate

Practice roles

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.

• Albany County Chapter Nys Arc

  • Developmental Disabilities Clinic/Center
  • Slingerlands, NY
  • NPI 1356411615
  NPD (past)
• New Dimensions in Living Inc

  • Multi-Specialty Clinic/Center
  • Amsterdam, NY
  • NPI 1982674917
  NPD (past)

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1528124302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1310 KNOX CAVE RD",
            "city": "DELANSON",
            "state": "NY",
            "postal_code": "12053",
            "telephone_number": "518-872-9890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "334 KRUMKILL RD",
            "city": "SLINGERLANDS",
            "state": "NY",
            "postal_code": "121599303",
            "telephone_number": "518-459-0750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEZZOLLA",
        "first_name": "STEPHEN",
        "middle_name": "THOMAS",
        "name_prefix": "Mr.",
        "credential": "NY STATE TEACHER CER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225C00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kyung-Eun Park, DPT
• Kevin Albert Paulsen, PT
• Linda Jean Peavy, PHYSICIAN ASSISTANT
• Margaret Perazzelli, P.T.
• Lisa Fettinger Pezzolla
• Mary Gaudet Phelps, FNP-BC
• Philip T. Drew, MD
• Barbara Ann Plotzker, PT
• Nathan Pruitt, PHD
• Joan Qualtere, RN

• Rehabilitation Counselor in Slingerlands, NY
• Providers in Slingerlands, NY by specialty
• Rehabilitation Counselor in New York

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.