Active NPI
Charmaine Marcia Gabbidon, OT
- Occupational Therapist
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 012390
- Practice address
- 330 W 34TH St FL 15
New York, NY 10001-2406 - Phone
- (212) 947-5770
- NPI assigned
- Feb 8, 2007
- Sex
- Female
- 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 | 012390 | NY | Primary |
Addresses
Primary practice location
330 W 34TH St FL 15
New York, NY 10001-2406
Mailing address
39 Jefferson Ave
Valley Stream, NY 11580-2925
Phone (516) 285-8192
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090109000383 | NY | Practitioner - Occupational Therapist in Private Practice | 6800959313 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- United Cerebral Palsy Assoc of Nys Inc
Practice addresses (Care Compare)
921 E New York Ave
Linda Buch Gheradi Ctr
Brooklyn, NY 11203-1309
Phone (718) 778-8587
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 012390 | NY | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| United Cerebral Palsy Assoc of Nys Inc. | Current | Accepting new patients | |
| Caring SLP, Psychology, OT & Nutrition Services, PLLC | Current | Accepting new patients | |
| United Cerebral Palsy Assoc of Nys Inc. | Current | Accepting new patients | |
| United Cerebral Palsy Assoc of Nys Inc | Current | Accepting new patients | |
| Superior Clinical Care PLLC | Current | Accepting new patients |
Locations
979 Cross Bronx Expy
Bronx, NY 10460
Phone 71866575653009
921 E New York Ave
#C
Brooklyn, NY 11203
Phone (718) 778-8587
40 Rector St
Fl 15
New York, NY 10006
Phone (929) 647-4796
330 W 34th St
Fl 15
New York, NY 10001
17 N Plank Rd
Ste 10
Newburgh, NY 12550
Phone (845) 800-9305
2324 Forest Ave
Staten Island, NY 10303
Phone (718) 447-0200
Organizations & group practices 5
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.
-
- Clinic/Center
- Woodside, NY
- NPI 1255496642
-
- Clinic/Center
- Brooklyn, NY
- NPI 1285799684
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1124168976",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "39 JEFFERSON AVE",
"city": "VALLEY STREAM",
"state": "NY",
"postal_code": "115802925",
"telephone_number": "516-285-8192"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "330 W 34TH ST FL 15",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100012406",
"telephone_number": "212-947-5770"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GABBIDON",
"first_name": "CHARMAINE",
"middle_name": "MARCIA",
"name_prefix": "Mrs.",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "012390",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.