Individual provider Active NPI

Pamela Sue Miscioscia, MS,OTR/L

  • Pediatric Occupational Therapist
  • Flushing, NY
National Provider Identifier
1417260050
Registry record updated Mar 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
014841-1 Issued in NY
Practice address
7035 150TH St
Flushing, NY 11367-2024
Phone
(718) 263-4004
Fax
(718) 793-9812
NPI assigned
Jul 25, 2010
Last updated
Mar 19, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 19, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X 014841-1 NY Primary

Addresses

Primary practice location

7035 150TH St
Flushing, NY 11367-2024

Mailing address

7035 150TH St
Flushing, NY 11367-2024
Phone (718) 263-4004

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
014841-1NYMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1280016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332115200000",
    "number": "1417260050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7035 150TH ST",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113672024",
            "telephone_number": "718-263-4004",
            "fax_number": "718-793-9812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7035 150TH ST",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113672024",
            "telephone_number": "718-263-4004",
            "fax_number": "718-793-9812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MISCIOSCIA",
        "first_name": "PAMELA",
        "middle_name": "SUE",
        "credential": "MS,OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-25",
        "last_updated": "2012-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NY",
            "license": "014841-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2012; 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.