Active NPI
Michelle Quaglino, RPA-C
- Physician Assistant
- Bronx, NY
National Provider Identifier
1376562868
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 010764
- Practice address
- 4487 3Rd Ave
Bronx, NY 10457-1526 - Phone
- (718) 960-6127
- NPI assigned
- Jul 18, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 010764 | NY | Primary |
Addresses
Primary practice location
4487 3Rd Ave
Bronx, NY 10457-1526
Mailing address
2130 72ND St
2ND Floor
East Elmhurst, NY 11370-1008
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)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 010764 | NY | MD | Chiropractor |
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1376562868",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2130 72ND ST",
"address_2": "2ND FLOOR",
"city": "EAST ELMHURST",
"state": "NY",
"postal_code": "113701008"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4487 3RD AVE",
"city": "BRONX",
"state": "NY",
"postal_code": "104571526",
"telephone_number": "718-960-6127"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUAGLINO",
"first_name": "MICHELLE",
"credential": "RPA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "010764",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bronx, 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.