Active NPI
Enrico Pasquarello, PT
- Physical Therapist
- Astoria, NY
National Provider Identifier
1669689709
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 0285641-1
- Practice address
- 2307 30TH Dr Apt 1B
Astoria, NY 11102-3595 - Phone
- (646) 688-5200
- Fax
- (866) 925-8694
- NPI assigned
- May 17, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 0285641-1 | NY | Primary |
Addresses
Primary practice location
2307 30TH Dr Apt 1B
Astoria, NY 11102-3595
Mailing address
255 Katan Ave
Staten Island, NY 10308-2268
Phone (347) 559-1745
Other practice location 1
132 W 31st St Ste 1533
New York, NY 10001-3406
Phone (646) 688-5200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0285641-1 | NY | MD | Physical Therapist |
| 028564 | NY | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Life Care Planning LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Home Health Agency
- Staten Island, NY
- NPI 1497179527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1524182400000",
"number": "1669689709",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "255 KATAN AVE",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103082268",
"telephone_number": "347-559-1745"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2307 30TH DR APT 1B",
"city": "ASTORIA",
"state": "NY",
"postal_code": "111023595",
"telephone_number": "646-688-5200",
"fax_number": "866-925-8694"
}
],
"practiceLocations": [
{
"address_1": "132 W 31st St Ste 1533",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100013406",
"country_code": "US",
"telephone_number": "646-688-5200",
"fax_number": "866-925-8694",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PASQUARELLO",
"first_name": "ENRICO",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-17",
"last_updated": "2018-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "0285641-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Astoria, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.