NPIMap

Organization Active NPI

Advanced Hand & Occupational Therapy, PC

  • Occupational Therapist
  • Staten Island, NY
National Provider Identifier
1649209750
Registry record updated Jun 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
0090981 Issued in NY
Legal business name
ADVANCED HAND & OCCUPATIONAL THERAPY, PC
Practice address
2372 Victory Blvd
Staten Island, NY 10314-6607
Phone
(718) 698-9800
Fax
(718) 698-9820
NPI assigned
Jul 1, 2006
Last updated
Jun 17, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2008

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

Authorized official

Name
Mr. Michael Saraceno, OTR/L, CHTNPI 1316976418
Title
President
Phone
(718) 698-9800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 0090981 NY Primary

Addresses

Primary practice location

2372 Victory Blvd
Staten Island, NY 10314-6607

Mailing address

6917 62ND Ave
Middle Village, NY 11379-1119
Phone (718) 779-8559

Other identifiers 6

IdentifierTypeStateIssuer
QS7731OtherNYBLUE CROSS BLUE SHIELD
1699738OtherNYGHI
2002047OtherNYUNITED HEALTHCARE
G2739397OtherNYOXFORD
009098OtherNYHIP
7070452OtherNYAETNA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1151712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213660800000",
    "number": "1649209750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6917 62ND AVE",
            "city": "MIDDLE VILLAGE",
            "state": "NY",
            "postal_code": "113791119",
            "telephone_number": "718-779-8559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2372 VICTORY BLVD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103146607",
            "telephone_number": "718-698-9800",
            "fax_number": "718-698-9820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED HAND & OCCUPATIONAL THERAPY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-01",
        "last_updated": "2008-06-17",
        "status": "A",
        "authorized_official_last_name": "SARACENO",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-698-9800",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OTR/L, CHT"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "0090981",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "QS7731",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "1699738",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "2002047",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "G2739397",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIP",
            "identifier": "009098",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7070452",
            "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 Jun 17, 2008; 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.