Individual provider Active NPI

Maura Renee Kelly-Magliaro, OTR/L

  • Specialist
  • Rockville Centre, NY
National Provider Identifier
1104109834
Registry record updated Sep 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
006549 Issued in NY
Practice address
25 Buckingham Rd
Rockville Centre, NY 11570-2219
Phone
(516) 255-8910
NPI assigned
Sep 20, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 20, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 006549 NY Primary

Addresses

Primary practice location

25 Buckingham Rd
Rockville Centre, NY 11570-2219

Mailing address

65 Atlas Ave
Malverne, NY 11565-1123
Phone (516) 599-8637

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

NPI Registry JSON

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

{
    "created_epoch": "1316476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316476800000",
    "number": "1104109834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 ATLAS AVE",
            "city": "MALVERNE",
            "state": "NY",
            "postal_code": "115651123",
            "telephone_number": "516-599-8637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 BUCKINGHAM RD",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "115702219",
            "telephone_number": "516-255-8910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY-MAGLIARO",
        "first_name": "MAURA",
        "middle_name": "RENEE",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-20",
        "last_updated": "2011-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "006549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville Centre, NY

Sources for this page

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

Verify at the official NPI Registry.