Individual provider Active NPI

Lillian Oliva-Rasulo

  • Specialist
  • Tuckahoe, NY
National Provider Identifier
1760896286
Registry record updated Jun 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Practice address
14 Westview Ave
Apt 209
Tuckahoe, NY 10707-4153
Phone
(914) 439-2383
Fax
(914) 948-0887
NPI assigned
Jun 12, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X Primary

Addresses

Primary practice location

14 Westview Ave
Apt 209
Tuckahoe, NY 10707-4153

Mailing address

14 Westview Ave
Apt 209
Tuckahoe, NY 10707
Phone (914) 439-2383

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

NPI Registry JSON

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

{
    "created_epoch": "1402531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402531200000",
    "number": "1760896286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 WESTVIEW AVE",
            "address_2": "APT 209",
            "city": "TUCKAHOE",
            "state": "NY",
            "postal_code": "10707",
            "telephone_number": "914-439-2383",
            "fax_number": "914-948-0887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 WESTVIEW AVE",
            "address_2": "APT 209",
            "city": "TUCKAHOE",
            "state": "NY",
            "postal_code": "107074153",
            "telephone_number": "914-439-2383",
            "fax_number": "914-948-0887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLIVA-RASULO",
        "first_name": "LILLIAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-12",
        "last_updated": "2014-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tuckahoe, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2014; 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.