Organization Active NPI

Eunjung an Otrl Inc

  • Home Health Agency
  • Brooklyn, NY
National Provider Identifier
1083458517
Registry record updated Jun 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
EUNJUNG AN OTRL INC
Practice address
388 Bridge St Apt 22J
Brooklyn, NY 11201-5293
Phone
(720) 645-0031
NPI assigned
Jun 20, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2024

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

Authorized official

Name
Eunjung An, OTR/LNPI 1437654282
Title
President
Phone
(720) 645-0031

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

388 Bridge St Apt 22J
Brooklyn, NY 11201-5293

Mailing address

388 Bridge St Apt 22J
Brooklyn, NY 11201-5293

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1718841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718841600000",
    "number": "1083458517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "388 BRIDGE ST APT 22J",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112015293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "388 BRIDGE ST APT 22J",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112015293",
            "telephone_number": "720-645-0031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EUNJUNG AN OTRL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-20",
        "last_updated": "2024-06-20",
        "certification_date": "2024-06-20",
        "status": "A",
        "authorized_official_last_name": "AN",
        "authorized_official_first_name": "EUNJUNG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "720-645-0031",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "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 Jun 20, 2024; 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.