Active NPI
Emerald Lourissa Silletta, MOT
- Pediatric Occupational Therapist
- New York, NY
National Provider Identifier
1710469903
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- 022566
- Practice address
- 98 Morningside Ave Apt 36
New York, NY 10027-5142 - Phone
- (929) 349-9660
- NPI assigned
- Sep 4, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | 022566 | NY | Primary |
Addresses
Primary practice location
98 Morningside Ave Apt 36
New York, NY 10027-5142
Mailing address
98 Morningside Ave Apt 36
New York, NY 10027-5142
Phone (929) 349-9660
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 |
|---|---|---|---|
| 022566 | NY | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1536019200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1536019200000",
"number": "1710469903",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "98 MORNINGSIDE AVE APT 36",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100275142",
"telephone_number": "929-349-9660"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "98 MORNINGSIDE AVE APT 36",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100275142",
"telephone_number": "929-349-9660"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SILLETTA",
"first_name": "EMERALD",
"middle_name": "LOURISSA",
"credential": "MOT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-09-04",
"last_updated": "2018-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "NY",
"license": "022566",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.