Active NPI
Alyssa Tagliaferro, OTR/L
- Occupational Therapist
- Staten Island, NY
National Provider Identifier
1649883679
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 024906-01
- Practice address
- 450 Buel Ave
Staten Island, NY 10305-2245 - Phone
- (718) 351-5454
- NPI assigned
- Aug 28, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 46TR00943800 | NJ | |
| Occupational Therapist | 225X00000X | 024906-01 | NY | Primary |
Addresses
Primary practice location
450 Buel Ave
Staten Island, NY 10305-2245
Mailing address
59 Easton Ave
Spotswood, NJ 08884-1157
Phone (732) 850-3902
Other practice location 1
520 Bloomingdale Rd
Staten Island, NY 10309-2061
Phone (718) 608-1508
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
| License | State | Type | Specialty |
|---|---|---|---|
| 46TR00943800 | NJ | MD | Occupational Therapist |
| 024906-01 | NY | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1598572800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630540800000",
"number": "1649883679",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "59 EASTON AVE",
"city": "SPOTSWOOD",
"state": "NJ",
"postal_code": "088841157",
"telephone_number": "732-850-3902"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "450 BUEL AVE",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103052245",
"telephone_number": "718-351-5454"
}
],
"practiceLocations": [
{
"address_1": "520 Bloomingdale Rd",
"address_purpose": "LOCATION",
"city": "Staten Island",
"state": "NY",
"postal_code": "103092061",
"country_code": "US",
"telephone_number": "718-608-1508",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TAGLIAFERRO",
"first_name": "ALYSSA",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-08-28",
"last_updated": "2021-09-02",
"certification_date": "2021-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NJ",
"license": "46TR00943800",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "024906-01",
"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 Sep 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.