Active NPI
Roxanne Dantes Parungao, COTA
- Occupational Therapy Assistant
- Bronx, NY
National Provider Identifier
1164044517
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 0102-91
- Practice address
- 2175 Quarry Rd
Bronx, NY 10457-1663 - Phone
- (718) 960-3917
- NPI assigned
- May 8, 2020
- 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 |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 0102-91 | NY | Primary |
Addresses
Primary practice location
2175 Quarry Rd
Bronx, NY 10457-1663
Mailing address
27 Veterans PLZ Apt 2
Bergenfield, NJ 07621-2103
Phone (201) 989-9184
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 |
|---|---|---|---|
| 0102-91 | NY | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1588896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1588896000000",
"number": "1164044517",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27 VETERANS PLZ APT 2",
"city": "BERGENFIELD",
"state": "NJ",
"postal_code": "076212103",
"telephone_number": "201-989-9184"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2175 QUARRY RD",
"city": "BRONX",
"state": "NY",
"postal_code": "104571663",
"telephone_number": "718-960-3917"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARUNGAO",
"first_name": "ROXANNE",
"middle_name": "DANTES",
"name_prefix": "Ms.",
"credential": "COTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-05-08",
"last_updated": "2020-05-08",
"certification_date": "2020-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "NY",
"license": "0102-91",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.