Active NPI
Emily Lee
- Occupational Therapist
- Staten Island, NY
National Provider Identifier
1396597308
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 028920
- Practice address
- 3391 Richmond Ave
Staten Island, NY 10312-2025 - Phone
- (718) 608-9170
- NPI assigned
- Apr 3, 2024
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 028920 | NY | Primary |
Addresses
Primary practice location
3391 Richmond Ave
Staten Island, NY 10312-2025
Mailing address
5943 174TH St Apt 3
Fresh Meadows, NY 11365-1540
Phone (917) 865-6478
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 |
|---|---|---|---|
| 028920 | NY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1712102400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712102400000",
"number": "1396597308",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5943 174TH ST APT 3",
"city": "FRESH MEADOWS",
"state": "NY",
"postal_code": "113651540",
"telephone_number": "917-865-6478"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3391 RICHMOND AVE",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103122025",
"telephone_number": "718-608-9170"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "EMILY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-04-03",
"last_updated": "2024-04-03",
"certification_date": "2024-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "028920",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Staten Island, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.