Active NPI
Edgar Anthony Neris, OTR/L
- Occupational Therapist
- Brooklyn, NY
National Provider Identifier
1063152601
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 026686
- Practice address
- 2006 Benson Ave Apt 3C
Brooklyn, NY 11214-4824 - Phone
- (929) 282-5949
- NPI assigned
- Mar 31, 2022
- 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 | 026686 | NY | Primary |
Addresses
Primary practice location
2006 Benson Ave Apt 3C
Brooklyn, NY 11214-4824
Mailing address
2006 Benson Ave Apt 3C
Brooklyn, NY 11214-4824
Phone (929) 282-5949
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 026686 | Other | NY | NYS DEPARTMENT OF EDUCATION, OFFICE OF PROFESSIONS |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1648684800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1648684800000",
"number": "1063152601",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2006 BENSON AVE APT 3C",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112144824",
"telephone_number": "929-282-5949"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2006 BENSON AVE APT 3C",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112144824",
"telephone_number": "929-282-5949"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NERIS",
"first_name": "EDGAR",
"middle_name": "ANTHONY",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-03-31",
"last_updated": "2022-03-31",
"certification_date": "2022-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "026686",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NYS DEPARTMENT OF EDUCATION, OFFICE OF PROFESSIONS",
"identifier": "026686",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.