Active NPI
Marinella Celine Martin Mallare, OT
- Occupational Therapist
- Maspeth, NY
National Provider Identifier
1154086312
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 025844
- Practice address
- 7030 53Rd Ave Apt 1C
Maspeth, NY 11378-1428 - Phone
- (347) 267-0891
- NPI assigned
- Nov 3, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 025844 | NY | Primary |
Addresses
Primary practice location
7030 53Rd Ave Apt 1C
Maspeth, NY 11378-1428
Mailing address
7030 53Rd Ave Apt 1C
Maspeth, NY 11378-1428
Phone (347) 267-0891
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 |
|---|---|---|---|
| 025844 | NY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1635897600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635897600000",
"number": "1154086312",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7030 53RD AVE APT 1C",
"city": "MASPETH",
"state": "NY",
"postal_code": "113781428",
"telephone_number": "347-267-0891"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7030 53RD AVE APT 1C",
"city": "MASPETH",
"state": "NY",
"postal_code": "113781428",
"telephone_number": "347-267-0891"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALLARE",
"first_name": "MARINELLA CELINE",
"middle_name": "MARTIN",
"credential": "OT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-11-03",
"last_updated": "2021-11-03",
"certification_date": "2021-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "025844",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Maspeth, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.