Active NPI
David N Escudero, OTR/L
- Occupational Therapist
- Bay Shore, NY
National Provider Identifier
1760637300
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 012172-1
- Practice address
- 80 Danbury St
Bay Shore, NY 11706-5820 - Phone
- (631) 332-2951
- NPI assigned
- Nov 24, 2008
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 012172-1 | NY | Primary |
Addresses
Primary practice location
80 Danbury St
Bay Shore, NY 11706-5820
Mailing address
80 Danbury St
Bay Shore, NY 11706-5820
Phone (631) 332-2951
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 012172-1 | NY | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Federation Employment and Guidance Service, Inc | Past | 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.
-
- Developmental Disabilities Clinic/Center
- New York, NY
- NPI 1942243084
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1227484800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1227484800000",
"number": "1760637300",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "80 DANBURY ST",
"city": "BAY SHORE",
"state": "NY",
"postal_code": "117065820",
"telephone_number": "631-332-2951"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "80 DANBURY ST",
"city": "BAY SHORE",
"state": "NY",
"postal_code": "117065820",
"telephone_number": "631-332-2951"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ESCUDERO",
"first_name": "DAVID",
"middle_name": "N",
"name_prefix": "Mr.",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-11-24",
"last_updated": "2008-11-24",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "012172-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bay Shore, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 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.