Individual provider Active NPI

Janis Nicole Parcon

  • Occupational Therapist
  • Jamaica, NY
National Provider Identifier
1710689617
Registry record updated Mar 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
027728 Issued in NY
Practice address
18710 Hillside Ave Apt 2R
Jamaica, NY 11432-3216
Phone
(929) 307-7519
NPI assigned
Mar 22, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 22, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 027728 NY Primary

Addresses

Primary practice location

18710 Hillside Ave Apt 2R
Jamaica, NY 11432-3216

Mailing address

18710 Hillside Ave Apt 2R
Jamaica, NY 11432-3216
Phone (929) 307-7519

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

LicenseStateTypeSpecialty
027728NYMDOccupational Therapist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1679443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679443200000",
    "number": "1710689617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18710 HILLSIDE AVE APT 2R",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114323216",
            "telephone_number": "929-307-7519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18710 HILLSIDE AVE APT 2R",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114323216",
            "telephone_number": "929-307-7519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARCON",
        "first_name": "JANIS NICOLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-22",
        "last_updated": "2023-03-22",
        "certification_date": "2023-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "027728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamaica, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2023; 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.