Active NPI
Vic Jason B Magistrado
- Occupational Therapist
- Bronx, NY
National Provider Identifier
1689207904
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 017215
- Practice address
- 1087 Mace Ave
Bronx, NY 10469-4416 - Phone
- (718) 644-1464
- NPI assigned
- Feb 14, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 017215 | NY | Primary |
Addresses
Primary practice location
1087 Mace Ave
Bronx, NY 10469-4416
Mailing address
1333 North Ave Ste a
New Rochelle, NY 10804-2149
Phone (718) 644-1464
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NA | Other | PART B |
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1581638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1581638400000",
"number": "1689207904",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1333 NORTH AVE STE A",
"city": "NEW ROCHELLE",
"state": "NY",
"postal_code": "108042149",
"telephone_number": "718-644-1464"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1087 MACE AVE",
"city": "BRONX",
"state": "NY",
"postal_code": "104694416",
"telephone_number": "718-644-1464"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAGISTRADO",
"first_name": "VIC JASON",
"middle_name": "B",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-02-14",
"last_updated": "2020-02-14",
"certification_date": "2020-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "017215",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PART B",
"identifier": "NA",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.