Individual provider Active NPI

Maryan Rokhman

  • Occupational Therapy Assistant
  • Brooklyn, NY
National Provider Identifier
1083120331
Registry record updated Dec 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
8048-1 Issued in NY
Practice address
2533 Batchelder St Apt 5B
Brooklyn, NY 11235-1419
Phone
(347) 860-4679
Fax
(718) 377-5002
NPI assigned
Dec 22, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 22, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 8048-1 NY Primary

Addresses

Primary practice location

2533 Batchelder St Apt 5B
Brooklyn, NY 11235-1419

Mailing address

2533 Batchelder St Apt 5B
Brooklyn, NY 11235-1419
Phone (347) 860-4679

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

State licenses

LicenseStateTypeSpecialty
8048-1NYMDOccupational Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1513900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513900800000",
    "number": "1083120331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2533 BATCHELDER ST APT 5B",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112351419",
            "telephone_number": "347-860-4679",
            "fax_number": "718-377-5002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2533 BATCHELDER ST APT 5B",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112351419",
            "telephone_number": "347-860-4679",
            "fax_number": "718-377-5002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROKHMAN",
        "first_name": "MARYAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-12-22",
        "last_updated": "2017-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "NY",
            "license": "8048-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Dec 22, 2017; 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.