Individual provider Active NPI

Thomas John Mernar, PHD, OTR

  • Occupational Therapist
  • Yorktown Heights, NY
National Provider Identifier
1104055912
Registry record updated Feb 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
46TR00196700 Issued in NJ
Practice address
1940 Commerce St
Suite 210
Yorktown Heights, NY 10598-4428
Phone
(914) 631-9020
Fax
(914) 631-9028
NPI assigned
Jul 14, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 46TR00196700 NJ Primary

Addresses

Primary practice location

1940 Commerce St
Suite 210
Yorktown Heights, NY 10598-4428

Mailing address

1940 Commerce St
Suite 210
Yorktown Heights, NY 10598-4428
Phone (914) 631-2090

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
46TR00196700NJMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1247529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456185600000",
    "number": "1104055912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1940 COMMERCE ST",
            "address_2": "SUITE 210",
            "city": "YORKTOWN HEIGHTS",
            "state": "NY",
            "postal_code": "105984428",
            "telephone_number": "914-631-2090",
            "fax_number": "914-631-9028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1940 COMMERCE ST",
            "address_2": "SUITE 210",
            "city": "YORKTOWN HEIGHTS",
            "state": "NY",
            "postal_code": "105984428",
            "telephone_number": "914-631-9020",
            "fax_number": "914-631-9028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERNAR",
        "first_name": "THOMAS",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "PHD, OTR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-14",
        "last_updated": "2016-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR00196700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yorktown Heights, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2016; 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.