Individual provider Active NPI

Tara Rose Delurey

  • Occupational Therapy Assistant
  • Hauppauge, NY
National Provider Identifier
1295412831
Registry record updated Jul 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
011367 Issued in NY
Practice address
495 Hoffman LN Ste 3
Hauppauge, NY 11788-3102
Phone
(631) 863-3000
NPI assigned
Jul 4, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 4, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 011367 NY Primary

Addresses

Primary practice location

495 Hoffman LN Ste 3
Hauppauge, NY 11788-3102

Mailing address

10 Woodmere Rd
Sound Beach, NY 11789-1111
Phone (631) 804-9979

Other practice location 1

1363 Veterans Memorial Hwy Ste 8
Hauppauge, NY 11788-3046
Phone (631) 366-3876

Other names 1

  • Tara R Delurey Former name

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

NPI Registry JSON

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

{
    "created_epoch": "1688428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688428800000",
    "number": "1295412831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 WOODMERE RD",
            "city": "SOUND BEACH",
            "state": "NY",
            "postal_code": "117891111",
            "telephone_number": "631-804-9979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "495 HOFFMAN LN STE 3",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "117883102",
            "telephone_number": "631-863-3000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1363 Veterans Memorial Hwy Ste 8",
            "address_purpose": "LOCATION",
            "city": "Hauppauge",
            "state": "NY",
            "postal_code": "117883046",
            "country_code": "US",
            "telephone_number": "631-366-3876",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DELUREY",
        "first_name": "TARA",
        "middle_name": "ROSE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-04",
        "last_updated": "2023-07-04",
        "certification_date": "2023-07-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "NY",
            "license": "011367",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TARA",
            "last_name": "DELUREY",
            "middle_name": "R",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hauppauge, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 4, 2023; 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.