Active NPI
Michael Lacagnina
- Occupational Therapist
- Astoria, NY
National Provider Identifier
1821523614
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 020495
- Practice address
- 3636 33Rd St
Astoria, NY 11106-2329 - Phone
- (212) 529-9780
- NPI assigned
- Apr 29, 2017
- Last updated
- Jul 6, 2017
- Sex
- Male
- Sole proprietor
- No
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 | 020495 | NY | Primary |
Addresses
Primary practice location
3636 33Rd St
Astoria, NY 11106-2329
Mailing address
221-18 Fairbury Avenue
Queens Village, NY 11428
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
| License | State | Type | Specialty |
|---|---|---|---|
| 020495 | NY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1493424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1499299200000",
"number": "1821523614",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "221-18 FAIRBURY AVENUE",
"city": "QUEENS VILLAGE",
"state": "NY",
"postal_code": "11428"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3636 33RD ST",
"city": "ASTORIA",
"state": "NY",
"postal_code": "111062329",
"telephone_number": "212-529-9780"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LACAGNINA",
"first_name": "MICHAEL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-04-29",
"last_updated": "2017-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "020495",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Astoria, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.