Andrea Wacendak

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

361456 Issued in NY

Practice address

98 Oak St
Binghamton, NY 13905-3769

Phone

(607) 762-8136

NPI assigned

Sep 7, 2016

Last updated

Sep 7, 2016By the provider in NPPES

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": "1473206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473206400000",
    "number": "1659828713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98 OAK ST",
            "city": "BINGHAMTON",
            "state": "NY",
            "postal_code": "139053769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98 OAK ST",
            "city": "BINGHAMTON",
            "state": "NY",
            "postal_code": "139053769",
            "telephone_number": "607-762-8136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WACENDAK",
        "first_name": "ANDREA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-07",
        "last_updated": "2016-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "NY",
            "license": "361456",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thuy-Linh Vo
• Ryan M Volk, CRNA
• Rozana Volodin, LPN
• Sean Vona
• Patricia Ann Voorhis, PTA
• Leslie Ann Wade
• Jessica Hope Waffle, LCSW
• Evan David Wagstaff, LMSW
• Hadia Waheed, MD
• Syed Hamza Waheed, MD

• Occupational Therapy Assistant in Binghamton, NY
• Providers in Binghamton, NY by specialty
• Occupational Therapy Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 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.

Verify at the official NPI Registry.