Active NPI
Jaylen Galloway
- Occupational Therapist
- Newark, NY
National Provider Identifier
1710633169
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 025997
- Practice address
- 208 Ny-88
Newark, NY 14513 - Phone
- (315) 331-5282
- NPI assigned
- Feb 24, 2022
- Last updated
- Feb 24, 2022
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 025997 | NY | Primary |
Addresses
Primary practice location
208 Ny-88
Newark, NY 14513
Mailing address
208 Ny-88
Newark, NY 14513
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": "1645660800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1645660800000",
"number": "1710633169",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "208 NY-88",
"city": "NEWARK",
"state": "NY",
"postal_code": "14513"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "208 NY-88",
"city": "NEWARK",
"state": "NY",
"postal_code": "14513",
"telephone_number": "315-331-5282"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GALLOWAY",
"first_name": "JAYLEN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-02-24",
"last_updated": "2022-02-24",
"certification_date": "2022-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "025997",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newark, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.