Jill Clibborn Booth

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

007943-1 Issued in NY

Practice address

455 North End Ave
New York, NY 10282

Phone

(917) 522-1341

NPI assigned

May 23, 2006

Sex

Female

Sole proprietor

Yes

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)

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.

• New York Downtown Medical Associates

  • Internal Medicine Physician
  • New York, NY
  • NPI 1427095652
  NPD (past)

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1286841600000",
    "number": "1114972676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 WILLIAM ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100382612",
            "telephone_number": "212-238-0100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 NORTH END AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10282",
            "telephone_number": "917-522-1341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLIBBORN BOOTH",
        "first_name": "JILL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-23",
        "last_updated": "2010-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "007943-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Soshana Clerizier, M.D.
• Kevin Clerkin, MD
• Rebeca Clerville Deratus, FNP
• Bakeishia Cleveland
• Lincoln Mather Cleveland, MD
• Catherine Cliche
• Clifford Wayne Bassett MD, PC
• Clifford Williams, D.M.D., P.C.
• Susan Michelle Clifford-Krueger, MD
• Courtney M Clifford, MFT-LP

• Occupational Therapist in New York, NY
• Providers in New York, NY by specialty
• Occupational Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2010; 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.