Active NPI
Jane Cynthia Ocubillo Viacrucis, OT
- Student in an Organized Health Care Education/Training Program
- Staten Island, NY
National Provider Identifier
1740426147
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- License
- 011671-1
- Practice address
- 24 Calvanico LN
Staten Island, NY 10314-4730 - Phone
- (718) 698-0481
- Fax
- (718) 698-0481
- NPI assigned
- Jan 6, 2009
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 011671-1 | NY | Primary |
Addresses
Primary practice location
24 Calvanico LN
Staten Island, NY 10314-4730
Mailing address
24 Calvanico LN
Staten Island, NY 10314-4730
Phone (718) 698-0481
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": "1231200000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1231200000000",
"number": "1740426147",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24 CALVANICO LN",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103144730",
"telephone_number": "718-698-0481",
"fax_number": "718-698-0481"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24 CALVANICO LN",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103144730",
"telephone_number": "718-698-0481",
"fax_number": "718-698-0481"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VIACRUCIS",
"first_name": "JANE CYNTHIA",
"middle_name": "OCUBILLO",
"name_prefix": "Ms.",
"credential": "OT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-01-06",
"last_updated": "2009-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NY",
"license": "011671-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Staten Island, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.