Active NPI
Elizabeth McCloud
- Specialist
- Staten Island, NY
National Provider Identifier
1659388429
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 006383-1
- Practice address
- 80 Woodrow Rd
Staten Island, NY 10312-1313 - Phone
- (718) 356-0008
- Fax
- (718) 356-6566
- NPI assigned
- Aug 2, 2006
- 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 Therapy Assistant | 224Z00000X | 00006383 | NY | |
| Specialist | 174400000X | 006383-1 | NY | Primary |
Addresses
Primary practice location
80 Woodrow Rd
Staten Island, NY 10312-1313
Mailing address
80 Woodrow Rd
Staten Island, NY 10312-1313
Phone (718) 356-0008
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00006383 | Medicaid | NY |
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 |
|---|---|---|---|
| 006383-1 | NY | MD | Specialist |
| 00006383 | NY | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1480636800000",
"number": "1659388429",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "80 WOODROW RD",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103121313",
"telephone_number": "718-356-0008",
"fax_number": "718-356-6566"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "80 WOODROW RD",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103121313",
"telephone_number": "718-356-0008",
"fax_number": "718-356-6566"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCLOUD",
"first_name": "ELIZABETH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-02",
"last_updated": "2016-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "NY",
"license": "00006383",
"primary": false
},
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": "006383-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00006383",
"state": "NY"
}
],
"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 Dec 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.