Active NPI
Jacquelyn Delorenzo
- Occupational Therapist
- Wantagh, NY
National Provider Identifier
1437566239
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 018473
- Practice address
- 857 Jay Dr
Wantagh, NY 11793-1019 - Phone
- (516) 220-2169
- NPI assigned
- Jul 14, 2014
- Sex
- Female
- Sole proprietor
- Yes
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 | 018473 | NY | Primary |
Addresses
Primary practice location
857 Jay Dr
Wantagh, NY 11793-1019
Mailing address
857 Jay Dr
Wantagh, NY 11793-1019
Phone (516) 220-2169
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 018473 | NY | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1405296000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1405296000000",
"number": "1437566239",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "857 JAY DR",
"city": "WANTAGH",
"state": "NY",
"postal_code": "117931019",
"telephone_number": "516-220-2169"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "857 JAY DR",
"city": "WANTAGH",
"state": "NY",
"postal_code": "117931019",
"telephone_number": "516-220-2169"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DELORENZO",
"first_name": "JACQUELYN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-07-14",
"last_updated": "2014-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "018473",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wantagh, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.