Opticare Physical Therapy, LLP

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

06504 Issued in NJ

Legal business name

OPTICARE PHYSICAL THERAPY, LLP

Practice address

155 New Brunswick Avenue
Perth Amboy, NJ 08861

Phone

(732) 376-0330

Fax

(718) 356-1337

NPI assigned

Jan 15, 2013

Last updated

Jan 15, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Vincent James Puccio, DPTNPI 1093883845

Title

Owner

Phone

(732) 376-0330

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Vincent James Puccio, DPT

  • Physical Therapist
  • Staten Island, NY
  • NPI 1093883845
  Authorized official Same address or phone

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

{
    "created_epoch": "1358208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358208000000",
    "number": "1750628301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1545 VICTORY BLVD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103143503",
            "telephone_number": "718-720-2288",
            "fax_number": "718-720-5444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 NEW BRUNSWICK AVENUE",
            "city": "PERTH AMBOY",
            "state": "NJ",
            "postal_code": "08861",
            "telephone_number": "732-376-0330",
            "fax_number": "718-356-1337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTICARE PHYSICAL THERAPY, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-15",
        "last_updated": "2013-01-15",
        "status": "A",
        "authorized_official_last_name": "PUCCIO",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-376-0330",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "06504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margie Dixon Olewunne
• Tara Olsen, AGNP
• Om Pharmacy LLC (Town Drugs and Surgical)
• Open MRI of Perth Amboy, LLC (Raritan Bay Medical Imaging)
• Kofi Boakye Opoku, MD
• Ortega Telemedicine LLC (Ortega Medical Group)
• Felix Yovanny Ortega, PA
• Gissell Ortiz, LSW
• Madeline Ortiz
• Leslie Pooser Osei-Tutu, MD

• Physical Therapist in Perth Amboy, NJ
• Providers in Perth Amboy, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2013; 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.