Active NPI
Eileen Seidell, R. N., OTR/L
- Occupational Therapist
- Smithtown, NY
National Provider Identifier
1255507653
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 016296-1
- Practice address
- 46 New Mill Rd
Smithtown, NY 11787-3342 - Phone
- (631) 366-1471
- NPI assigned
- May 6, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 016296-1 | NY | Primary |
| Registered Nurse | 163W00000X | 410577-1 | NY |
Addresses
Primary practice location
46 New Mill Rd
Smithtown, NY 11787-3342
Mailing address
46 New Mill Rd
Smithtown, NY 11787-3342
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02813078 | Medicaid | NY |
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
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 410577-1 | NY | MD | Registered Nurse |
| 016296-1 | NY | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210032000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1338249600000",
"number": "1255507653",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "46 NEW MILL RD",
"city": "SMITHTOWN",
"state": "NY",
"postal_code": "117873342"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "46 NEW MILL RD",
"city": "SMITHTOWN",
"state": "NY",
"postal_code": "117873342",
"telephone_number": "631-366-1471"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEIDELL",
"first_name": "EILEEN",
"name_prefix": "Mrs.",
"credential": "R. N., OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-05-06",
"last_updated": "2012-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "016296-1",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "410577-1",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02813078",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Smithtown, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 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.