ROOSEVELET PT PC
NPI 1215733829
Clinic/Center in Valley Stream, NY

Active since February 24, 2025
591 W MERRICK RD, VALLEY STREAM, NY 11580(516) 206-0100(516) 206-0101 Get Directions Write a Review

NPPES record last updated: February 24, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Roosevelet Pt Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ROOSEVELET PT PC (NPI 1215733829) is a healthcare organization registered as a clinic/center in Valley Stream, New York and active in the NPI registry since February 2025. The organization lists Amro Barakat, Pt, as its authorized official.

NPPES Registry Identity

NPI1215733829
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameROOSEVELET PT PC
Location Address591 W MERRICK RDValley Stream, NY 11580-5119
Mailing Address121 Winham AveStaten Island, NY 10306-4930 · (631) 318-3148
Fax(516) 206-0101
Organization SubpartNo
Authorized OfficialAmro BarakatPt · (631) 318-3148
Enumeration DateFebruary 24, 2025
NPPES CertifiedFebruary 24, 2025
NPI 1215733829 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

591 W MERRICK RD, Valley Stream, NY 11580

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Chiropractor
591 W MERRICK RD
VALLEY STREAM, NY 11580

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Roosevelet Pt PC's NPI number?

The NPI number for Roosevelet Pt PC is 1215733829. It was assigned to this organization in the NPPES registry on February 24, 2025.

Where is Roosevelet Pt PC located?

Roosevelet Pt PC is located at 591 W Merrick Rd, Valley Stream, NY 11580. The listed phone number is (516) 206-0100.

What is Roosevelet Pt PC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Roosevelet Pt PC was last updated on February 24, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.