Active NPI
Roland Vano Dela Serna, DPT
- Physical Therapist
- Melville, NY
National Provider Identifier
1992943252
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 024079
- Practice address
- 740 Walt Whitman Rd
Melville, NY 11747-2212 - Phone
- (631) 646-2256
- Fax
- (631) 249-1793
- NPI assigned
- Jan 25, 2009
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 024079 | NY | Primary |
Addresses
Primary practice location
740 Walt Whitman Rd
Melville, NY 11747-2212
Mailing address
PO Box 1359
Melville, NY 11747-0308
Phone (631) 646-2256
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | https://suffolkptchiro.com/doctor-roland-v-dela-serna/ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Miriam Kanter MD PC | Past | Accepting new patients | |
| Community Medical Wellness PC | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Chiropractor
- Melville, NY
- NPI 1417564253
-
- Pain Medicine Physician
- Port Jefferson Station, NY
- NPI 1073002473
-
- Physical Medicine & Rehabilitation Physician
- Richmond Hill, NY
- NPI 1295863926
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1232841600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734048000000",
"number": "1992943252",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1359",
"city": "MELVILLE",
"state": "NY",
"postal_code": "117470308",
"telephone_number": "631-646-2256",
"fax_number": "631-249-1793"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "740 WALT WHITMAN RD",
"city": "MELVILLE",
"state": "NY",
"postal_code": "117472212",
"telephone_number": "631-646-2256",
"fax_number": "631-249-1793"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DELA SERNA",
"first_name": "ROLAND",
"middle_name": "VANO",
"name_prefix": "Mr.",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-01-25",
"last_updated": "2024-12-13",
"certification_date": "2024-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "024079",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "https://suffolkptchiro.com/doctor-roland-v-dela-serna/",
"affiliation": "N",
"address_1": "740 Walt Whitman Rd",
"city": "Melville",
"state": "NY",
"country_code": "US",
"postal_code": "117472212",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Melville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 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.