Individual provider Active NPI

Jane Delbianco, MA,OTR

  • Contractor
  • Carmel, NY
National Provider Identifier
1033364385
Registry record updated Jun 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ContractorTaxonomy code 171W00000X
License
007006-1 Issued in NY
Practice address
5004 Applewood Cir
Carmel, NY 10512-2640
Phone
(845) 200-7676
NPI assigned
Nov 28, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 14, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Contractor 171W00000X 007006-1 NY Primary

Addresses

Primary practice location

5004 Applewood Cir
Carmel, NY 10512-2640

Mailing address

5004 Applewood Cir
Carmel, NY 10512-2640
Phone (845) 200-7676

Other names 1

  • Jane Raskin Former name

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
007006-1NYMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1227830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402704000000",
    "number": "1033364385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5004 APPLEWOOD CIR",
            "city": "CARMEL",
            "state": "NY",
            "postal_code": "105122640",
            "telephone_number": "845-200-7676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5004 APPLEWOOD CIR",
            "city": "CARMEL",
            "state": "NY",
            "postal_code": "105122640",
            "telephone_number": "845-200-7676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELBIANCO",
        "first_name": "JANE",
        "credential": "MA,OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-28",
        "last_updated": "2014-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "NY",
            "license": "007006-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JANE",
            "last_name": "RASKIN",
            "credential": "BS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Carmel, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.