Active NPI
Joseph Abruzzo, ATC
- Athletic Trainer
- Staten Island, NY
National Provider Identifier
1710397963
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 001617
- Practice address
- 106 Nostrand Ave
Staten Island, NY 10314-3245 - Phone
- (347) 330-5667
- NPI assigned
- Apr 28, 2014
- Last updated
- Apr 28, 2014
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 001617 | NY | Primary |
Addresses
Primary practice location
106 Nostrand Ave
Staten Island, NY 10314-3245
Mailing address
106 Nostrand Ave
Staten Island, NY 10314-3245
Phone (347) 330-5667
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1398643200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1398643200000",
"number": "1710397963",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "106 NOSTRAND AVE",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103143245",
"telephone_number": "347-330-5667"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "106 NOSTRAND AVE",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103143245",
"telephone_number": "347-330-5667"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABRUZZO",
"first_name": "JOSEPH",
"credential": "ATC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-04-28",
"last_updated": "2014-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "NY",
"license": "001617",
"primary": true
}
],
"identifiers": [],
"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 Apr 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.