Individual provider Active NPI

Gerard Lanciotti

  • Occupational Therapist
  • Manorville, NY
National Provider Identifier
1437189081
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
008994-1 Issued in NY
Practice address
5 Tee View CT
Manorville, NY 11949-2939
Phone
(631) 874-3032
Fax
(631) 874-4105
NPI assigned
Jul 3, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 008994-1 NY Primary

Addresses

Primary practice location

5 Tee View CT
Manorville, NY 11949-2939

Mailing address

67 Twin LN N
Wantagh, NY 11793-1914
Phone (516) 312-4444

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210920002698 NY Practitioner - Occupational Therapist in Private Practice 4284651647 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
008994-1NYMDOccupational Therapist
0089941NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Home Advantage Occupational Therapy, P.C. CurrentSince Jul 4, 2021 Accepting new patients
Reliance Healthcare Occupational Therapist Past Accepting new patients

Locations

12 Platinum Ct
Medford, NY 11763
Phone (516) 729-4834

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1437189081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67 TWIN LN N",
            "city": "WANTAGH",
            "state": "NY",
            "postal_code": "117931914",
            "telephone_number": "516-312-4444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 TEE VIEW CT",
            "city": "MANORVILLE",
            "state": "NY",
            "postal_code": "119492939",
            "telephone_number": "631-874-3032",
            "fax_number": "631-874-4105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANCIOTTI",
        "first_name": "GERARD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "008994-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manorville, 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.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.