Alyssa Michele Ercolino

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

017413 Issued in NY

Practice address

14 Somerset Ave
East Islip, NY 11730-2030

Phone

(516) 721-6051

NPI assigned

Sep 10, 2025

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1757462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757462400000",
    "number": "1255212759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 SOMERSET AVE",
            "city": "EAST ISLIP",
            "state": "NY",
            "postal_code": "117302030",
            "telephone_number": "516-721-6051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 SOMERSET AVE",
            "city": "EAST ISLIP",
            "state": "NY",
            "postal_code": "117302030",
            "telephone_number": "516-721-6051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERCOLINO",
        "first_name": "ALYSSA",
        "middle_name": "MICHELE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-09-10",
        "last_updated": "2025-09-10",
        "certification_date": "2025-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NY",
            "license": "017413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• East Islip Pharmacy Inc (Unity Pharmacy)
• East Islip Physical Therapy and Rehabilitation PC
• East Islip School District
• East Main Street Dental PC
• Audrey L. Eisenstadt, MD
• Exchange Ambulance Corporation of the Islips
• Karen Gail Fagioli, LMSW
• Tzanwei Fang, M.D.
• Michele Loren Farley
• Meghan Farrell, MSED

• Pediatric Occupational Therapist in East Islip, NY
• Providers in East Islip, NY by specialty
• Pediatric Occupational Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2025; 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.