Christine D. Momich, OTR/L

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

004733 Issued in NY

Practice address

9802 62ND Dr
Rego Park, NY 11374-1741

Phone

(718) 263-1587

Fax

(718) 275-9753

NPI assigned

Jul 27, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Interdisciplinary Center for Child Development, Inc.

  • Developmental Disabilities Clinic/Center
  • Bayside, NY
  • NPI 1285910828
  NPD (past)

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

{
    "created_epoch": "1343347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343347200000",
    "number": "1053667006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3555 223RD ST",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113612236",
            "telephone_number": "718-428-5370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9802 62ND DR",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113741741",
            "telephone_number": "718-263-1587",
            "fax_number": "718-275-9753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOMICH",
        "first_name": "CHRISTINE",
        "middle_name": "D.",
        "name_prefix": "Ms.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-27",
        "last_updated": "2012-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NY",
            "license": "004733",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Modern RX Pharmacy Inc
• Chrystie A Modica, M.S. CCC-SLP
• Talia Moghaddam
• Eman Mohamed Mohamed
• Moise Physical Therapy Co
• Montefiore Medical Center
• Montefiore Medical Center
• Montefiore Medical Center
• Milet Marcela Montoya, CFY
• Gregory Moore Sr., CASAC

• Pediatric Occupational Therapist in Rego Park, NY
• Providers in Rego Park, NY by specialty
• Pediatric Occupational Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2012; 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.