Elizabeth Ann Carolan OT PLLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

ELIZABETH ANN CAROLAN OT PLLC

Practice address

600 Fulton St Apt R1
Farmingdale, NY 11735-3535

Phone

(516) 297-2331

Fax

(516) 843-7606

NPI assigned

Nov 7, 2019

Organization subpart

No

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

Authorized official

Name

Miss Elizabeth Ann Carolan, OTRL, MHS

Title

Occupational Therapist

Phone

(516) 297-2331

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1573084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1573084800000",
    "number": "1265077895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 FULTON ST APT R1",
            "city": "FARMINGDALE",
            "state": "NY",
            "postal_code": "117353535",
            "telephone_number": "516-297-2331",
            "fax_number": "516-843-7606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 FULTON ST APT R1",
            "city": "FARMINGDALE",
            "state": "NY",
            "postal_code": "117353535",
            "telephone_number": "516-297-2331",
            "fax_number": "516-843-7606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELIZABETH ANN CAROLAN OT PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-07",
        "last_updated": "2019-11-07",
        "status": "A",
        "authorized_official_last_name": "CAROLAN",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "516-297-2331",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "OTRL, MHS"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Address",
            "affiliation": "N",
            "address_1": "600 Fulton St Apt R1",
            "city": "Farmingdale",
            "state": "NY",
            "country_code": "US",
            "postal_code": "117353535",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2019; 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.