Emil Jaboy

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

10627-01 Issued in NY

Practice address

56 Millspaugh LN
Bardonia, NY 10954-1536

Phone

(516) 455-2290

NPI assigned

Oct 16, 2021

Last updated

Oct 16, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1634342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634342400000",
    "number": "1376206474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56 MILLSPAUGH LN",
            "city": "BARDONIA",
            "state": "NY",
            "postal_code": "109541536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56 MILLSPAUGH LN",
            "city": "BARDONIA",
            "state": "NY",
            "postal_code": "109541536",
            "telephone_number": "516-455-2290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JABOY",
        "first_name": "EMIL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-10-16",
        "last_updated": "2021-10-16",
        "certification_date": "2021-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "NY",
            "license": "10627-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Occupational Therapy Assistant in Bardonia, NY
• Providers in Bardonia, NY by specialty
• Occupational Therapy Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2021; 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.