Individual provider Active NPI

Gloria A Maggi, C.O.T.A.

  • Local Education Agency (LEA)
  • Cornwall on Hudson, NY
National Provider Identifier
1629350509
Registry record updated Jan 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
License
004895-1 Issued in NY
Practice address
24 Idlewild Ave
Cornwall on Hudson, NY 12520-1134
Phone
(845) 534-8009
NPI assigned
Sep 15, 2011
Last updated
Jan 18, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 18, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 004895-1 NY
Local Education Agency (LEA) 251300000X 004895-1 NY Primary

Addresses

Primary practice location

24 Idlewild Ave
Cornwall on Hudson, NY 12520-1134

Mailing address

13 Timberline Dr
Cornwall, NY 12518-9701
Phone (845) 534-3066

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
004895-1NYMDLocal Education Agency (LEA)

Practice roles

OrganizationSpecialtyStatusNew patients
Cornwall Central School District Past Accepting new patients

Organizations & group practices 1

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": "1316044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326844800000",
    "number": "1629350509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 TIMBERLINE DR",
            "city": "CORNWALL",
            "state": "NY",
            "postal_code": "125189701",
            "telephone_number": "845-534-3066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 IDLEWILD AVE",
            "city": "CORNWALL ON HUDSON",
            "state": "NY",
            "postal_code": "125201134",
            "telephone_number": "845-534-8009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGGI",
        "first_name": "GLORIA",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "C.O.T.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-15",
        "last_updated": "2012-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "NY",
            "license": "004895-1",
            "primary": false
        },
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "NY",
            "license": "004895-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cornwall on Hudson, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 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.