Active NPI
Denise Rossilli
- Social Worker
- Staten Island, NY
National Provider Identifier
1790980076
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 37PC00044300
- Practice address
- 91 Burbank Ave
Staten Island, NY 10306-2318 - Phone
- (917) 757-6740
- NPI assigned
- Jun 18, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 37PC00044300 | NJ | Primary |
Addresses
Primary practice location
91 Burbank Ave
Staten Island, NY 10306-2318
Mailing address
91 Burbank Ave
Staten Island, NY 10306-2318
Phone (917) 757-6740
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 37PC00044300 | Other | NJ | STATE LICENSE |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37PC00044300 | NJ | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182124800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1348012800000",
"number": "1790980076",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "91 BURBANK AVE",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103062318",
"telephone_number": "917-757-6740"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "91 BURBANK AVE",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103062318",
"telephone_number": "917-757-6740"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSSILLI",
"first_name": "DENISE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-06-18",
"last_updated": "2012-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NJ",
"license": "37PC00044300",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "37PC00044300",
"state": "NJ"
}
],
"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 Sep 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.