Active NPI
Bessie Trastelis
- Contractor
- Valley Stream, NY
National Provider Identifier
1013291384
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- License
- 004860-1
- Practice address
- 443 Hungry Harbor Rd
Valley Stream, NY 11581-3650 - Phone
- (516) 791-9555
- Fax
- (516) 791-9555
- NPI assigned
- Oct 5, 2011
- Last updated
- Oct 5, 2011
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Contractor | 171W00000X | 004860-1 | NY | Primary |
Addresses
Primary practice location
443 Hungry Harbor Rd
Valley Stream, NY 11581-3650
Mailing address
443 Hungry Harbor Rd
Valley Stream, NY 11581-3650
Phone (516) 791-9555
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004860-1 | Other | NY | COTA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 004860-1 | NY | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1317772800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1317772800000",
"number": "1013291384",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "443 HUNGRY HARBOR RD",
"city": "VALLEY STREAM",
"state": "NY",
"postal_code": "115813650",
"telephone_number": "516-791-9555",
"fax_number": "516-791-9555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "443 HUNGRY HARBOR RD",
"city": "VALLEY STREAM",
"state": "NY",
"postal_code": "115813650",
"telephone_number": "516-791-9555",
"fax_number": "516-791-9555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRASTELIS",
"first_name": "BESSIE",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-10-05",
"last_updated": "2011-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": "NY",
"license": "004860-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COTA",
"identifier": "004860-1",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Valley Stream, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.