Active NPI
Nicole Latella
- Occupational Therapist
- New Hyde Park, NY
National Provider Identifier
1992122469
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 004179
- Practice address
- 1983 Marcus Ave
New Hyde Park, NY 11042-2000 - Phone
- (516) 497-7600
- NPI assigned
- Mar 23, 2014
- Sex
- Female
- 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 | 004179 | CT | Primary |
Addresses
Primary practice location
1983 Marcus Ave
New Hyde Park, NY 11042-2000
Mailing address
2340 Langen Dr
Seaford, NY 11783-2909
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 |
|---|---|---|---|
| 017596 | NY | MD | Clinical Psychologist |
| 004179 | CT | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1395532800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1482192000000",
"number": "1992122469",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2340 LANGEN DR",
"city": "SEAFORD",
"state": "NY",
"postal_code": "117832909"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1983 MARCUS AVE",
"city": "NEW HYDE PARK",
"state": "NY",
"postal_code": "110422000",
"telephone_number": "516-497-7600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LATELLA",
"first_name": "NICOLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-03-23",
"last_updated": "2016-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CT",
"license": "004179",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Hyde Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.