| NPI | 1215024898 |
|---|---|
| NPI Type | NPI-1 Individual |
| Status | Active |
| Enumeration Date | 2006-10-06 |
| Last Updated | 2025-05-15 |
| Mailing Address | 667 Stoneleigh Ave, Ste A201 Carmel, NY 10512 United States Phone: (845) 278-5223 | Fax: (845) 278-4579 📍 View Map |
| Primary Practice Address | 3630 Hill Blvd, Ste 402 Jefferson Valley, NY 10535 United States Phone: (914) 245-5400 | Fax: (845) 278-4579 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | NY | 02366338 | - |
| Other (non-Medicare) | NY | 970023444 | RR MC-PALMETTO GBA |
| Other (non-Medicare) | NY | 970023444 | RRMC |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| No | 363AM0700X – Physician Assistant, Medical | NY | 006617-1 |
| Yes | 363AM0700X – Physician Assistant, Medical | NY | 006617 |
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About NPI 1215024898
Sejal R Otero PA is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1215024898. The primary specialty listed is Physician Assistant, Medical. The provider is located in Jefferson Valley, NY. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-10-06. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1215024898?
NPI 1215024898 belongs to Sejal R Otero PA, a Physician Assistant, Medical in Jefferson Valley, NY. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.
Is NPI 1215024898 active?
The current status of NPI 1215024898 in the NPPES registry is Active. The record was last updated on 2025-05-15.
What specialty is NPI 1215024898?
NPI 1215024898 is classified under the taxonomy Physician Assistant, Medical. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1215024898?
You can verify NPI 1215024898 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1215024898?
The primary practice address on file for NPI 1215024898 is 3630 Hill Blvd, Jefferson Valley, NY 10535. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1215024898 issued?
NPI 1215024898 was first issued (enumerated) on 2006-10-06. The NPPES record was last updated on 2025-05-15.
Practice Location Map
Sejal R Otero is located at 3630 Hill Blvd, Jefferson Valley, NY. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Sejal R Otero. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1215024898. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Physician Assistant, Medical | 006617-1 | NY |
| Physician Assistant, Medical | 006617 | NY |