Diane Marie Ceballos

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

P86861 Issued in NY

Practice address

611 Broadway
Suite 908
New York, NY 10012-2608

Phone

(212) 473-0011

NPI assigned

Jan 23, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1358899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358899200000",
    "number": "1609114859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2119 24TH RD",
            "address_2": "1ST FLOOR",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111023447",
            "telephone_number": "347-623-5905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 BROADWAY",
            "address_2": "SUITE 908",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100122608",
            "telephone_number": "212-473-0011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CEBALLOS",
        "first_name": "DIANE",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-23",
        "last_updated": "2013-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NY",
            "license": "P86861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Conrad Cean, M.D.
• Danial James Ceasar, MD
• Margaret K Cease
• Clare Ceballos, NP
• Diane C Ceballos, RN
• Maria Ceballos
• Marek Piotr Cebulak, MD
• Anthony Martini Ceccacci, DDS
• Clara Ceccanti
• Leonard Gerard Ceccarelli, DC

• Pediatric Occupational Therapist in New York, NY
• Providers in New York, NY by specialty
• Pediatric Occupational Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2013; 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.