NPIMap

Organization Active NPI

Prny, PC

  • Physical Therapy Clinic/Center
  • New York, NY
National Provider Identifier
1659789824
Registry record updated Aug 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
037604-1 Issued in NY
Legal business name
PRNY, PC
Practice address
820 2ND Ave RM 7
New York, NY 10017-4528
Phone
(973) 628-1300
Fax
(973) 628-0300
NPI assigned
Jul 31, 2014
Last updated
Aug 11, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2015

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

Authorized official

Name
Mrs. Marissa M Muccio, PT
Title
President
Phone
(973) 628-1300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 037604-1 NY Primary

Addresses

Primary practice location

820 2ND Ave RM 7
New York, NY 10017-4528

Mailing address

265 Rte 46
Suite 102
Totowa, NJ 07512-1820
Phone (973) 628-1300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, SC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20240313004170 NJ Part B Supplier - Clinic/Group Practice 6709222672 Receives reassigned benefits from 4 practitioners
Practice locations: Cedar Knolls, NJ; Teaneck, NJ
O20240429000469 SC Part B Supplier - Clinic/Group Practice 6709222672 Receives reassigned benefits from 1 practitioner
Practice locations: Mount Pleasant, SC

National Provider Directory

National Provider Directory

Locations

218 Ridgedale Ave
Ste 204
Cedar Knolls, NJ 07927
Phone (973) 359-0777

265 US Highway 46
Ste 102
Totowa, NJ 07512
Phone (973) 628-1300

820 2nd Ave
Rm 7
New York, NY 10017
Phone (212) 616-4130

Practitioners & affiliated clinicians

Practitioners 10

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": "1406764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439251200000",
    "number": "1659789824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "265 RTE 46",
            "address_2": "SUITE 102",
            "city": "TOTOWA",
            "state": "NJ",
            "postal_code": "075121820",
            "telephone_number": "973-628-1300",
            "fax_number": "973-628-0300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 2ND AVE RM 7",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100174528",
            "telephone_number": "973-628-1300",
            "fax_number": "973-628-0300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRNY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-31",
        "last_updated": "2015-08-11",
        "status": "A",
        "authorized_official_last_name": "MUCCIO",
        "authorized_official_first_name": "MARISSA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-628-1300",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NY",
            "license": "037604-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2015; 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.