Individual provider Active NPI

Okyro Candelaria Claudio, D.O.

  • Pediatrics Physician
  • Hempstead, NY
National Provider Identifier
1477967065
Registry record updated Nov 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
287301 Issued in NY
Practice address
175 Fulton Ave Ste 100
Hempstead, NY 11550-3702
Phone
(516) 292-1034
NPI assigned
Jun 11, 2014
Last updated
Nov 10, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 287301 NY Primary

Addresses

Primary practice location

175 Fulton Ave Ste 100
Hempstead, NY 11550-3702

Mailing address

14 Lucille LN
Dix Hills, NY 11746-5810
Phone (718) 551-4738

Other names 1

  • Okyro Candelaria Collazo Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180102001673 NY Practitioner - Pediatric Medicine 1052679651 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
287301NYMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
New York University CurrentSince Oct 21, 2019 Accepting new patients
New York University Pediatrics CurrentSince Oct 21, 2019 Accepting new patients

Locations

175 Fulton Ave
Ste 100
Hempstead, NY 11550
Phone (516) 292-1034

300 Community Dr
Manhasset, NY 11030

14 Wall St
Fl 9
Wall Street, NY 10005
Phone (646) 501-3224

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: oclaudio332076@nyumc.direct-ci.com

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": "1402444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668038400000",
    "number": "1477967065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 LUCILLE LN",
            "city": "DIX HILLS",
            "state": "NY",
            "postal_code": "117465810",
            "telephone_number": "718-551-4738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 FULTON AVE STE 100",
            "city": "HEMPSTEAD",
            "state": "NY",
            "postal_code": "115503702",
            "telephone_number": "516-292-1034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLAUDIO",
        "first_name": "OKYRO",
        "middle_name": "CANDELARIA",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-11",
        "last_updated": "2022-11-10",
        "certification_date": "2022-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "287301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "OKYRO",
            "last_name": "COLLAZO",
            "middle_name": "CANDELARIA",
            "credential": "D.O.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hempstead, NY

Sources for this page

Verify at the official NPI Registry.