Elisa Baun Resuello, P.T

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

013421 Issued in NY

Practice address

140 Delong Ave
Dumont, NJ 07628-1335

Phone

(347) 697-5411

NPI assigned

Jan 16, 2012

Sex

Female

Sole proprietor

Yes

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

Enrolled in NY

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Priority One Therapy PT OT SLP PLLC

  dba @Home Therapy

  • Rehabilitation Practitioner
  • Oceanside, NY
  • NPI 1447517453
  Medicare reassignment NPD

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

{
    "created_epoch": "1326672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326672000000",
    "number": "1659642155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 DELONG AVE",
            "city": "DUMONT",
            "state": "NJ",
            "postal_code": "076281335",
            "telephone_number": "347-697-5411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 DELONG AVE",
            "city": "DUMONT",
            "state": "NJ",
            "postal_code": "076281335",
            "telephone_number": "347-697-5411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RESUELLO",
        "first_name": "ELISA",
        "middle_name": "BAUN",
        "name_prefix": "Mrs.",
        "credential": "P.T",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-01-16",
        "last_updated": "2012-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "013421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Primes Pediatric Development Center
• Kathy Ellarene Novella Proctor, MS, BSN, RN- CCM
• Queens Early Intervention Physical Therapy
• Andy Ren
• Christopher J Restieri, DDS
• Stephen Rhee
• Raymond Riker
• Jerlyn Robinson
• Monica Rodriguez
• Scott William Rush I, DPT

• Physical Therapist in Dumont, NJ
• Providers in Dumont, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.