Individual provider Active NPI

Charmaine Marcia Gabbidon, OT

  • Occupational Therapist
  • New York, NY
National Provider Identifier
1124168976
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
012390 Issued in NY
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

Updated by the provider on Jul 8, 2007

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 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 IDStateProvider typePAC IDDetails
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 IncGroup PAC ID 0749275584, 23 clinicians

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

LicenseStateTypeSpecialty
012390NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
United Cerebral Palsy Assoc of Nys Inc. CurrentSince Jan 1, 2014 Accepting new patients
Caring SLP, Psychology, OT & Nutrition Services, PLLC CurrentSince Sep 2, 2020 Accepting new patients
United Cerebral Palsy Assoc of Nys Inc. CurrentSince Jan 1, 2014 Accepting new patients
United Cerebral Palsy Assoc of Nys Inc Current Accepting new patients
Superior Clinical Care PLLC CurrentSince Sep 2, 2020 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.

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.

Verify at the official NPI Registry.