Active NPI
Anthony Alexander Degori
- Low Vision Occupational Therapist
- Fort Salonga, NY
National Provider Identifier
1831747450
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Low Vision Occupational Therapist
- Practice address
- 10 Northfield Dr
Fort Salonga, NY 11768-2413 - Phone
- (631) 786-7538
- NPI assigned
- Aug 27, 2019
- Last updated
- Aug 27, 2019
- 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 |
|---|---|---|---|---|
| Low Vision Occupational Therapist | 225XL0004X | NY | Primary |
Addresses
Primary practice location
10 Northfield Dr
Fort Salonga, NY 11768-2413
Mailing address
10 Northfield Dr
Fort Salonga, NY 11768-2413
Phone (631) 786-7538
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": "1566864000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1566864000000",
"number": "1831747450",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 NORTHFIELD DR",
"city": "FORT SALONGA",
"state": "NY",
"postal_code": "117682413",
"telephone_number": "631-786-7538"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 NORTHFIELD DR",
"city": "FORT SALONGA",
"state": "NY",
"postal_code": "117682413",
"telephone_number": "631-786-7538"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEGORI",
"first_name": "ANTHONY",
"middle_name": "ALEXANDER",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-08-27",
"last_updated": "2019-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "225XL0004X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Low Vision",
"state": "NY",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Salonga, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.