Individual provider Active NPI

Lynnette Margaret Dagrosa, M.A.,O.T.R./L

  • Specialist
  • Brooklyn, NY
National Provider Identifier
1740580638
Registry record updated Oct 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
0021481 Issued in NY
Practice address
154 Carroll St Apt D3
Brooklyn, NY 11231-3540
Phone
(718) 522-2748
NPI assigned
Oct 26, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 26, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 0021481 NY Primary

Addresses

Primary practice location

154 Carroll St Apt D3
Brooklyn, NY 11231-3540

Mailing address

154 Carroll St Apt D3
Brooklyn, NY 11231-3540
Phone (718) 522-2748

Other names 1

  • Mr. Matthew Anthony Dagrosa Professional name

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
0021481NYMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1288051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288051200000",
    "number": "1740580638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "154 CARROLL ST APT D3",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112313540",
            "telephone_number": "718-522-2748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "154 CARROLL ST APT D3",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112313540",
            "telephone_number": "718-522-2748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAGROSA",
        "first_name": "LYNNETTE",
        "middle_name": "MARGARET",
        "name_prefix": "Ms.",
        "credential": "M.A.,O.T.R./L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-10-26",
        "last_updated": "2010-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "0021481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MATTHEW",
            "last_name": "DAGROSA",
            "middle_name": "ANTHONY",
            "prefix": "MR.",
            "credential": "OTR",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2010; 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.