NPIMap

Organization Active NPI

Progressive Physical Medicine and Rehabilitation

  • Physical Medicine & Rehabilitation Physician
  • Mineola, NY
National Provider Identifier
1740216126
Registry record updated Nov 2, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
PROGRESSIVE PHYSICAL MEDICINE AND REHABILITATION
Practice address
131 Jericho Tpke
Suite a
Mineola, NY 11501-1800
Phone
(516) 746-2727
Fax
(516) 746-2745
NPI assigned
Jun 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2007

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

Authorized official

Name
Dr. Nunzio Saulle, M.D.NPI 1184701674
Title
Partner
Phone
(516) 746-2727

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X Primary

Addresses

Primary practice location

131 Jericho Tpke
Suite a
Mineola, NY 11501-1800

Mailing address

131 Jericho Tpke
Suite a
Mineola, NY 11501-1800
Phone (516) 746-2727

National Provider Directory

National Provider Directory

Locations

131 Jericho Tpke
Ste A
Mineola, NY 11501
Phone (516) 746-2727

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1151193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193961600000",
    "number": "1740216126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 JERICHO TPKE",
            "address_2": "SUITE A",
            "city": "MINEOLA",
            "state": "NY",
            "postal_code": "115011800",
            "telephone_number": "516-746-2727",
            "fax_number": "516-746-2745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 JERICHO TPKE",
            "address_2": "SUITE A",
            "city": "MINEOLA",
            "state": "NY",
            "postal_code": "115011800",
            "telephone_number": "516-746-2727",
            "fax_number": "516-746-2745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROGRESSIVE PHYSICAL MEDICINE AND REHABILITATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-25",
        "last_updated": "2007-11-02",
        "status": "A",
        "authorized_official_last_name": "SAULLE",
        "authorized_official_first_name": "NUNZIO",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "516-746-2727",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mineola, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.