Active NPI
Laura A Pulkoski, OTR
- Specialist
- Rockaway Park, NY
National Provider Identifier
1265715577
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 018360-1
- Practice address
- 234 Beach 119TH St
Rockaway Park, NY 11694-1977 - Phone
- (718) 474-4203
- Fax
- (718) 474-4203
- NPI assigned
- Sep 22, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 018360-1 | NY | Primary |
Addresses
Primary practice location
234 Beach 119TH St
Rockaway Park, NY 11694-1977
Mailing address
234 Beach 119TH St
Rockaway Park, NY 11694-1977
Phone (718) 474-4203
Other names 1
- Ms. Laura Pulkoski
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
| License | State | Type | Specialty |
|---|---|---|---|
| 018360-1 | NY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1316649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1401148800000",
"number": "1265715577",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "234 BEACH 119TH ST",
"city": "ROCKAWAY PARK",
"state": "NY",
"postal_code": "116941977",
"telephone_number": "718-474-4203",
"fax_number": "718-474-4203"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "234 BEACH 119TH ST",
"city": "ROCKAWAY PARK",
"state": "NY",
"postal_code": "116941977",
"telephone_number": "718-474-4203",
"fax_number": "718-474-4203"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PULKOSKI",
"first_name": "LAURA",
"middle_name": "A",
"name_prefix": "Ms.",
"credential": "OTR",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-09-22",
"last_updated": "2014-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": "018360-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LAURA",
"last_name": "PULKOSKI",
"prefix": "MS.",
"credential": "OTR",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Rockaway Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.