Active NPI
Adela Cristina Igniska, MS, ATC
- Athletic Trainer
- Hawthorne, NY
National Provider Identifier
1164912994
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 001576
- Practice address
- 24 Saw Mill River Rd
Hawthorne, NY 10532-1541 - Phone
- (914) 631-6969
- NPI assigned
- May 17, 2018
- 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 |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 001576 | NY | Primary |
Addresses
Primary practice location
24 Saw Mill River Rd
Hawthorne, NY 10532-1541
Mailing address
1046 March Dr
Valley Stream, NY 11580-1841
Phone (718) 612-4642
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 080702200 | Other | BOC ATC |
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 Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001576 | NY | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1526515200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529107200000",
"number": "1164912994",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1046 MARCH DR",
"city": "VALLEY STREAM",
"state": "NY",
"postal_code": "115801841",
"telephone_number": "718-612-4642"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24 SAW MILL RIVER RD",
"city": "HAWTHORNE",
"state": "NY",
"postal_code": "105321541",
"telephone_number": "914-631-6969"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IGNISKA",
"first_name": "ADELA",
"middle_name": "CRISTINA",
"credential": "MS, ATC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-05-17",
"last_updated": "2018-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "NY",
"license": "001576",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOC ATC",
"identifier": "080702200",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Hawthorne, NY
- Hudson Valley Hand Physical Therapy & Occupational Therapy PLLC
- Hudson Valley Physical Medicine &Rehabilitation,PLLC
- Claudia S Hughes
- Alison Kathleen Iamiceli, OTR/L
- Wagih Ibrahim, R.S.A
- Uloma Ijomah, NP
- Independent Care Medical PLLC
- Melissa Infantino, COTA/L
- Angela Iovine, RD
- Michael Ian Israel, D.M.D
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.