Maria Charisse Judilla Gastador, OTR/L

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

013827-1 Issued in NY

Practice address

5009 38TH St
3F
Long Island City, NY 11101-1901

Phone

(917) 774-0968

NPI assigned

Jun 23, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Oasis Nurse Practitioner in Adult Health PC

  • Health Service Clinic/Center
  • Elmhurst, NY
  • NPI 1225579170
  NPD (past)

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

{
    "created_epoch": "1277251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298851200000",
    "number": "1740591809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5009 38TH ST",
            "address_2": "3F",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111011901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5009 38TH ST",
            "address_2": "3F",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111011901",
            "telephone_number": "917-774-0968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GASTADOR",
        "first_name": "MARIA CHARISSE",
        "middle_name": "JUDILLA",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-23",
        "last_updated": "2011-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NY",
            "license": "013827-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mayra L Garcia, RPH
• Priscilla Garcia
• Victoria Garcia, RN
• Gary S Hirshfield MD PC
• Gary S. Hirshfield MD PC
• Giacoma Rosa Gattuso, REGISTERED NURSE
• Fotini Gatzonis
• Brittany Gautreau, LCSW
• Emy Sanchez Gaviola, RN
• Ma Lizette Gaviola

• Pediatric Occupational Therapist in Long Island City, NY
• Providers in Long Island City, NY by specialty
• Pediatric Occupational Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2011; 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.