NPIMap

Organization Active NPI

Roberts Medical PC

  • Physical Therapy Clinic/Center
  • Staten Island, NY
National Provider Identifier
1578893210
Registry record updated Dec 31, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
112714 Issued in NY
Legal business name
ROBERTS MEDICAL PC
Practice address
1926 Victory Blvd
Staten Island, NY 10314-3518
Phone
(732) 972-5172
Fax
(732) 972-5176
NPI assigned
Dec 31, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2009

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

Authorized official

Name
Mrs. Patti Morelli
Title
Office MGR
Phone
(732) 972-5172

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 112714 NY Primary

Addresses

Primary practice location

1926 Victory Blvd
Staten Island, NY 10314-3518

Mailing address

30 Duncan Dr
Morganville, NJ 07751-1649
Phone (732) 972-5172

National Provider Directory

National Provider Directory
Tax ID family
Roberts Medical PC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1926 Victory Blvd
Staten Island, NY 10314
Phone (718) 390-8449

NPI Registry JSON

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

{
    "created_epoch": "1262217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262217600000",
    "number": "1578893210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 DUNCAN DR",
            "city": "MORGANVILLE",
            "state": "NJ",
            "postal_code": "077511649",
            "telephone_number": "732-972-5172",
            "fax_number": "732-972-5176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1926 VICTORY BLVD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103143518",
            "telephone_number": "732-972-5172",
            "fax_number": "732-972-5176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERTS MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-31",
        "last_updated": "2009-12-31",
        "status": "A",
        "authorized_official_last_name": "MORELLI",
        "authorized_official_first_name": "PATTI",
        "authorized_official_title_or_position": "OFFICE MGR",
        "authorized_official_telephone_number": "732-972-5172",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NY",
            "license": "112714",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Dec 31, 2009; 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.