Active NPI
Joseph Anthony Restivo, RPH.
- Pharmacist
- Plainview, NY
National Provider Identifier
1700169307
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 041007
- Practice address
- 1163 Old Country Rd
Plainview, NY 11803-5029 - Phone
- (516) 822-6300
- NPI assigned
- Sep 21, 2011
- Last updated
- Sep 21, 2011
- 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 041007 | NY | Primary |
Addresses
Primary practice location
1163 Old Country Rd
Plainview, NY 11803-5029
Mailing address
613 3Rd Ave
East Northport, NY 11731-3438
Phone (631) 266-2445
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)
- Not enrolled
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 041007 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DBM Medical PLLC | Past | Accepting new patients | |
| 31St & 3Rd Pharmacy Inc | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
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- Specialty Pharmacy
- Melville, NY
- NPI 1881609428
-
- Internal Medicine Physician
- Jericho, NY
- NPI 1639409642
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1316563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316563200000",
"number": "1700169307",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "613 3RD AVE",
"city": "EAST NORTHPORT",
"state": "NY",
"postal_code": "117313438",
"telephone_number": "631-266-2445"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1163 OLD COUNTRY RD",
"city": "PLAINVIEW",
"state": "NY",
"postal_code": "118035029",
"telephone_number": "516-822-6300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RESTIVO",
"first_name": "JOSEPH",
"middle_name": "ANTHONY",
"name_prefix": "Mr.",
"credential": "RPH.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-09-21",
"last_updated": "2011-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "041007",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Plainview, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.