Induben P Saresa

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

9551147 Issued in NY

Practice address

1274 Richmond Ave
Staten Island, NY 10314-7450

Phone

(646) 820-5669

Fax

(646) 820-5669

NPI assigned

Aug 28, 2017

Sex

Female

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

State licenses

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

{
    "created_epoch": "1503878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1503878400000",
    "number": "1578080800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1274 RICHMOND AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103147450",
            "telephone_number": "646-820-5669",
            "fax_number": "646-368-8339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1274 RICHMOND AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103147450",
            "telephone_number": "646-820-5669",
            "fax_number": "646-820-5669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SARESA",
        "first_name": "INDUBEN",
        "middle_name": "P",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-28",
        "last_updated": "2017-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NY",
            "license": "9551147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Saracco
• Joseph B Saraceno, PT
• Michael Saraceno, OTR/L, CHT
• Olivia Saraceno, PT,DPT
• Syeda Sarder, DO
• Shabnam N/a Sarfaraz I
• Nisha Kalidas Sargaramarwadi
• Angeleke Saridakis, MD
• Eliana Sarit
• David Scott Sarkany, M.D.

• Physical Therapy Assistant in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Physical Therapy Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2017; 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.