Organization Active NPI

Elite Care Occupational Therapy PLLC

  • Contractor
  • Staten Island, NY
National Provider Identifier
1467712281
Registry record updated May 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ContractorTaxonomy code 171W00000X
License
014046 Issued in NY
Legal business name
ELITE CARE OCCUPATIONAL THERAPY PLLC
Practice address
87 Lyman Ave
Staten Island, NY 10305-3814
Phone
(917) 379-7510
NPI assigned
May 26, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2012

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

Authorized official

Name
Oleg E Dron, OTR/L
Title
President / Member
Phone
(917) 379-7510

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ContractorGroup: 193400000X SINGLE SPECIALTY GROUP 171W00000X 014046 NY Primary

Addresses

Primary practice location

87 Lyman Ave
Staten Island, NY 10305-3814

Mailing address

87 Lyman Ave
Staten Island, NY 10305-3814
Phone (917) 379-7510

National Provider Directory

National Provider Directory
Tax ID family
Elite Care Occupational Therapy PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1337990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337990400000",
    "number": "1467712281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "87 LYMAN AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103053814",
            "telephone_number": "917-379-7510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "87 LYMAN AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103053814",
            "telephone_number": "917-379-7510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE CARE OCCUPATIONAL THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-26",
        "last_updated": "2012-05-26",
        "status": "A",
        "authorized_official_last_name": "DRON",
        "authorized_official_first_name": "OLEG",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT / MEMBER",
        "authorized_official_telephone_number": "917-379-7510",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Contractor",
            "state": "NY",
            "license": "014046",
            "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 May 26, 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.