Nicola Roselli

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

License

0053121 Issued in NY

Legal business name

NICOLA ROSELLI

Practice address

5847 Francis Lewis Blvd Ste 200
Oakland Gardens, NY 11364-1601

Phone

(718) 454-0842

Fax

(718) 454-1704

NPI assigned

May 19, 2008

Last updated

Jun 11, 2024By 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

Mr. Nicola Roselli, OTR CHT

Title

Sole Proprietor

Phone

(718) 454-0842

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Nicola Roselli

  • Customized Equipment (DME)
  • Bronx, NY
  • NPI 1063688471

  3072634435

  Same PAC ID

Tax ID family

Nicola Roselli3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Nicola Roselli

  • Customized Equipment (DME)
  • Bronx, NY
  • NPI 1063688471
  NPD tax ID
• Nicola Roselli

  dba Nick Roselli Occupational Therapy

  • Customized Equipment (DME)
  • Oakland Gardens, NY
  • NPI 1790212421
  NPD tax ID

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.

• Nicola (Nick) Roselli, OTR.CHT

  • Specialist
  • Oakland GDNS, NY
  • NPI 1427085885
  NPD (past)

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

{
    "created_epoch": "1211155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718064000000",
    "number": "1851558878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5847 FRANCIS LEWIS BLVD STE 200",
            "city": "OAKLAND GDNS",
            "state": "NY",
            "postal_code": "113641601",
            "telephone_number": "718-454-0842",
            "fax_number": "718-454-1704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5847 FRANCIS LEWIS BLVD STE 200",
            "city": "OAKLAND GARDENS",
            "state": "NY",
            "postal_code": "113641601",
            "telephone_number": "718-454-0842",
            "fax_number": "718-454-1704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICOLA ROSELLI",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-19",
        "last_updated": "2024-06-11",
        "certification_date": "2024-06-11",
        "status": "A",
        "authorized_official_last_name": "ROSELLI",
        "authorized_official_first_name": "NICOLA",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "718-454-0842",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OTR CHT"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "NY",
            "license": "0053121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Nawaz, PHARM.D.
• Nerry Lex Nayzov, O.D.
• New York Plastic Surgery PLLC
• Nicola Roselli (Nick Roselli Occupational Therapy)
• Nicola Roselli
• Regina Nisimov, PHARMD
• North Queens Orthopaedics PC
• Northern Pulmonary Medical Associates, PC
• Nova Eyewear LLC
• NR-OT Hand Rehab PLLC

• Customized Equipment (DME) in Oakland Gardens, NY
• Providers in Oakland Gardens, NY by specialty
• Customized Equipment (DME) in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.