Individual provider Active NPI

Prosperidad Marasigan

  • Optician
  • Yonkers, NY
National Provider Identifier
1366570277
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
006508 Issued in NY
Practice address
49 Greenwood Rd
Yonkers, NY 10701-5220
Phone
(914) 774-3930
Fax
(914) 345-2665
NPI assigned
Mar 1, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optician 156FX1800X 006508 NY Primary
Optician 156FX1800X 001413 CT

Addresses

Primary practice location

49 Greenwood Rd
Yonkers, NY 10701-5220

Mailing address

49 Greenwood Rd
Yonkers, NY 10701-5220
Phone (914) 774-3930

Other identifiers 2

IdentifierTypeStateIssuer
006508OtherNYOPTICIAN
001413OtherCTOPTICIAN

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": "1172707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1366570277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 GREENWOOD RD",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107015220",
            "telephone_number": "914-774-3930",
            "fax_number": "914-345-2665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 GREENWOOD RD",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107015220",
            "telephone_number": "914-774-3930",
            "fax_number": "914-345-2665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARASIGAN",
        "first_name": "PROSPERIDAD",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "NY",
            "license": "006508",
            "primary": true
        },
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "CT",
            "license": "001413",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTICIAN",
            "identifier": "006508",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTICIAN",
            "identifier": "001413",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Yonkers, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.