NICOLA ROSELLI NPI 1790212421

NPI Information

  • NPI: 1790212421
  • Provider Name: NICOLA ROSELLI
  • Classification: Durable Medical Equipment & Medical Supplies - 332BC3200X
  • Specialization: Customized Equipment
  • Entity Type: Organization
  • Doing Business As: NICK ROSELLI OCCUPATIONAL THERAPY
  • Address: 5847 FRANCIS LEWIS BLVD STE 200
    OAKLAND GARDENS, NY
    ZIP 11364
  • Phone: (718) 454-0842

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NPI Details

NICOLA ROSELLI is a customized equipment durable medical equipment medical supplies in Oakland Gardens, NY. NICOLA ROSELLI NPI is 1790212421. The provider is registered as an organization entity type.
The provider Is Doing Business As Nick Roselli Occupational Therapy.

The provider's business location address is:

5847 FRANCIS LEWIS BLVD STE 200
OAKLAND GARDENS, NY
ZIP 11364-601
Phone: (718) 454-0842
Fax: (718) 454-1704

The provider's authorized official is Rosalie Bender .
The authorized official title is Office Manager and has the following contact phone number (718) 454-0842.

The enumeration date for this NPI number is 5/12/2017 and was last updated on 6/11/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332BC3200XDurable Medical Equipment & Medical SuppliesCustomized Equipment0053121NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
102222993MEDICAIDNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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