Individual provider Active NPI

Donna Tuzza, OTR/L

  • Contractor
  • East Islip, NY
National Provider Identifier
1407165889
Registry record updated Oct 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ContractorTaxonomy code 171W00000X
License
010767-1 Issued in NY
Practice address
115 Connetquot Ave
Apartment 22
East Islip, NY 11730-1464
Phone
(631) 650-0299
NPI assigned
Oct 1, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Contractor 171W00000X 010767-1 NY Primary

Addresses

Primary practice location

115 Connetquot Ave
Apartment 22
East Islip, NY 11730-1464

Mailing address

115 Connetquot Ave
Apartment 22
East Islip, NY 11730-1464
Phone (631) 650-0299

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

LicenseStateTypeSpecialty
010767-1NYMDContractor

NPI Registry JSON

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

{
    "created_epoch": "1285891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285891200000",
    "number": "1407165889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 CONNETQUOT AVE",
            "address_2": "APARTMENT 22",
            "city": "EAST ISLIP",
            "state": "NY",
            "postal_code": "117301464",
            "telephone_number": "631-650-0299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 CONNETQUOT AVE",
            "address_2": "APARTMENT 22",
            "city": "EAST ISLIP",
            "state": "NY",
            "postal_code": "117301464",
            "telephone_number": "631-650-0299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUZZA",
        "first_name": "DONNA",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-01",
        "last_updated": "2010-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "NY",
            "license": "010767-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Islip, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2010; 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.