Individual provider Active NPI

Debra Lynn Dilello, O.T.

  • Occupational Therapist
  • West Islip, NY
National Provider Identifier
1740439736
Registry record updated Sep 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
001988-1 Issued in NY
Practice address
23 Barnard St
West Islip, NY 11795-3204
Phone
(516) 446-4556
Fax
(631) 587-0639
NPI assigned
Sep 15, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2008

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 001988-1 NY Primary

Addresses

Primary practice location

23 Barnard St
West Islip, NY 11795-3204

Mailing address

23 Barnard St
West Islip, NY 11795-3204
Phone (516) 446-4556

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
001988-1NYMDOccupational Therapist
001988NYMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Long Island Medical Arts PLLC PastSince Jan 1, 2016 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1221436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221436800000",
    "number": "1740439736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 BARNARD ST",
            "city": "WEST ISLIP",
            "state": "NY",
            "postal_code": "117953204",
            "telephone_number": "516-446-4556",
            "fax_number": "631-587-0639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 BARNARD ST",
            "city": "WEST ISLIP",
            "state": "NY",
            "postal_code": "117953204",
            "telephone_number": "516-446-4556",
            "fax_number": "631-587-0639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DILELLO",
        "first_name": "DEBRA",
        "middle_name": "LYNN",
        "credential": "O.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-15",
        "last_updated": "2008-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "001988-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Islip, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2008; 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.