Individual provider Active NPI

Dominick Napoletano, P.T

  • Physical Therapist
  • Brooklyn, NY
National Provider Identifier
1801084298
Registry record updated Apr 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
025558-1 Issued in NY
Practice address
3508 Flatlands Ave
Brooklyn, NY 11234-2609
Phone
(718) 253-3900
Fax
(718) 258-7844
NPI assigned
Oct 10, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 025558-1 NY Primary

Addresses

Primary practice location

3508 Flatlands Ave
Brooklyn, NY 11234-2609

Mailing address

239 Seaview Ave
Staten Island, NY 10305-1219
Phone (718) 253-3900

Other identifiers 1

IdentifierTypeStateIssuer
025558OtherNYLICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170425002824 NY Practitioner - Physical Therapist in Private Practice 7719264936 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Island Rehab PT OT PLLCGroup PAC ID 6204122153, 4 clinicians

Practice addresses (Care Compare)

242 Natick St
Staten Island, NY 10306-1626
Phone (718) 354-0457

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
025558-1NYMDPhysical Therapist
025558NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Island Rehab PT OT PLLC Physical Therapist CurrentSince Apr 25, 2017 Accepting new patients
Physicare Multi Services LTD PastSince Apr 18, 2009 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1191974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492905600000",
    "number": "1801084298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "239 SEAVIEW AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103051219",
            "telephone_number": "718-253-3900",
            "fax_number": "718-258-7844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3508 FLATLANDS AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112342609",
            "telephone_number": "718-253-3900",
            "fax_number": "718-258-7844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAPOLETANO",
        "first_name": "DOMINICK",
        "credential": "P.T",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-10",
        "last_updated": "2017-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "025558-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "025558",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.