Individual provider Active NPI

Tracy Pangandaman Dulay, OTR/L

  • Pediatric Occupational Therapist
  • New York, NY
National Provider Identifier
1205102142
Registry record updated Mar 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
013883-1 Issued in NY
Practice address
600 E 6TH St
B43
New York, NY 10009-6851
Phone
(212) 673-6510
NPI assigned
Mar 26, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 26, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X 013883-1 NY Primary

Addresses

Primary practice location

600 E 6TH St
B43
New York, NY 10009-6851

Mailing address

510 E 20TH St
Apt. Ma
New York, NY 10009-8301
Phone (212) 533-0273

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

LicenseStateTypeSpecialty
013883-1NYMDPediatric Occupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1332720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332720000000",
    "number": "1205102142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 E 20TH ST",
            "address_2": "APT. MA",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100098301",
            "telephone_number": "212-533-0273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 E 6TH ST",
            "address_2": "B43",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100096851",
            "telephone_number": "212-673-6510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DULAY",
        "first_name": "TRACY",
        "middle_name": "PANGANDAMAN",
        "name_prefix": "Ms.",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-26",
        "last_updated": "2012-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NY",
            "license": "013883-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2012; 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.