Provider Demographics
NPI:1700121035
Name:PISANI, JOSEPH (BA)
Entity type:Individual
Prefix:MR
First Name:JOSEPH
Middle Name:
Last Name:PISANI
Suffix:
Gender:M
Credentials:BA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8225 AREVEE DR LOT 125
Mailing Address - Street 2:
Mailing Address - City:NEW PORT RICHEY
Mailing Address - State:FL
Mailing Address - Zip Code:34653-1405
Mailing Address - Country:US
Mailing Address - Phone:727-645-1310
Mailing Address - Fax:
Practice Address - Street 1:8225 AREVEE DR LOT 125
Practice Address - Street 2:
Practice Address - City:NEW PORT RICHEY
Practice Address - State:FL
Practice Address - Zip Code:34653-1405
Practice Address - Country:US
Practice Address - Phone:727-645-1310
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-11-27
Last Update Date:2024-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral
No171M00000XOther Service ProvidersCase Manager/Care Coordinator
No172A00000XOther Service ProvidersDriver
No172V00000XOther Service ProvidersCommunity Health Worker
No225800000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRecreation Therapist
No372500000XNursing Service Related ProvidersChore Provider
No374K00000XNursing Service Related ProvidersReligious Nonmedical Practitioner
No374T00000XNursing Service Related ProvidersReligious Nonmedical Nursing Personnel
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL172A00000XMedicaid
FL171M00000XMedicaid
FL101YP1600XMedicaid
FL253Z00000XMedicaid