Active NPI
Ron Daquila Occupational Therapy PC
- Occupational Therapist
- Staten Island, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 008103-1
- Legal business name
- RON DAQUILA OCCUPATIONAL THERAPY PC
- Practice address
- 4870 Hylan Blvd
Staten Island, NY 10312-6322 - Phone
- (718) 356-1337
- NPI assigned
- Jun 11, 2009
- Last updated
- Jun 11, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Ron L Daquila, OTR/L
- Title
- Owner
- Phone
- (718) 356-1337
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 008103-1 | NY | Primary |
Addresses
Primary practice location
4870 Hylan Blvd
Staten Island, NY 10312-6322
Mailing address
4870 Hylan Blvd
Staten Island, NY 10312-6322
Phone (718) 356-1337
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, NJ
Enrollment records 2
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Occupational Therapist
- Staten Island, NY
- NPI 1710120720
O20090609000144
National Provider Directory
National Provider DirectoryLocations
6939 Amboy Rd
Fl 2
Staten Island, NY 10309
Phone (718) 356-1337
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1244678400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1244678400000",
"number": "1407083942",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4870 HYLAN BLVD",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103126322",
"telephone_number": "718-356-1337"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4870 HYLAN BLVD",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103126322",
"telephone_number": "718-356-1337"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RON DAQUILA OCCUPATIONAL THERAPY PC",
"organizational_subpart": "NO",
"enumeration_date": "2009-06-11",
"last_updated": "2009-06-11",
"status": "A",
"authorized_official_last_name": "DAQUILA",
"authorized_official_first_name": "RON",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "718-356-1337",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "OTR/L"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "008103-1",
"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 Jun 11, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.