Individual provider Active NPI

Rose C Hafezi, A.A.S

  • Physical Therapy Assistant
  • Getzville, NY
National Provider Identifier
1861428823
Registry record updated Aug 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
005681-1 Issued in NY
Practice address
150 Stahl Rd
Getzville, NY 14068-1231
Phone
(716) 629-3400
NPI assigned
Jun 23, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 005681-1 NY Primary

Addresses

Primary practice location

150 Stahl Rd
Getzville, NY 14068-1231

Mailing address

150 Stahl Rd
Getzville, NY 14068-1231
Phone (716) 629-3400

Other names 1

  • Rose Frisicaro Polizzi Former name

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
Credentials
Associate of Applied Science

State licenses

LicenseStateTypeSpecialty
005681-1NYMDMedical Physician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691452800000",
    "number": "1861428823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 STAHL RD",
            "city": "GETZVILLE",
            "state": "NY",
            "postal_code": "140681231",
            "telephone_number": "716-629-3400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 STAHL RD",
            "city": "GETZVILLE",
            "state": "NY",
            "postal_code": "140681231",
            "telephone_number": "716-629-3400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAFEZI",
        "first_name": "ROSE",
        "middle_name": "C",
        "credential": "A.A.S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-23",
        "last_updated": "2023-08-08",
        "certification_date": "2023-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NY",
            "license": "005681-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROSE",
            "last_name": "FRISICARO POLIZZI",
            "credential": "A.A.S",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Getzville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2023; 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.