Organization Active NPI

Madge Dargan OT PLLC

  • Occupational Therapist
  • New York, NY
National Provider Identifier
1013208081
Registry record updated Dec 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
MADGE DARGAN OT PLLC
Practice address
300 E 57TH St
1A
New York, NY 10022-2928
Phone
(212) 371-2996
Fax
(212) 980-1699
NPI assigned
Apr 26, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2024

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

Authorized official

Name
Madge Dargan, OTNPI 1336352400
Title
Owner
Phone
(212) 371-2996

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225X00000X Primary

Addresses

Primary practice location

300 E 57TH St
1A
New York, NY 10022-2928

Mailing address

300 E 57TH St
1A
New York, NY 10022-2928
Phone (212) 371-2996

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20110609000161 NY Part B Supplier - Clinic/Group Practice 3072790526 Receives reassigned benefits from 1 practitioner
Practice locations: New York, NY
O20120213000597 NY DME Supplier - Independently-Practicing Occupational Therapist 3072790526 Practice locations: New York, NY

National Provider Directory

National Provider Directory

Locations

300 E 57th St
#1A
New York, NY 10022
Phone (212) 371-2996

300 E 57th St
Frnt 1A
New York, NY 10022
Phone (212) 371-2996

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1303776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734652800000",
    "number": "1013208081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E 57TH ST",
            "address_2": "1A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100222928",
            "telephone_number": "212-371-2996",
            "fax_number": "212-980-1699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 E 57TH ST",
            "address_2": "1A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100222928",
            "telephone_number": "212-371-2996",
            "fax_number": "212-980-1699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADGE DARGAN OT PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-26",
        "last_updated": "2024-12-20",
        "certification_date": "2024-12-20",
        "status": "A",
        "authorized_official_last_name": "DARGAN",
        "authorized_official_first_name": "MADGE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "212-371-2996",
        "authorized_official_credential": "OT"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 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.

Verify at the official NPI Registry.