Active NPI
Mehdi Nobel, OT
- Occupational Therapist
- Brooklyn, NY
National Provider Identifier
1124380316
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- P84416
- Practice address
- 2555 Nostrand Ave
Brooklyn, NY 11210-4730 - Phone
- (718) 951-8800
- Fax
- (718) 951-0846
- NPI assigned
- Jun 13, 2012
- Sex
- Male
- 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 | P84416 | NY | Primary |
Addresses
Primary practice location
2555 Nostrand Ave
Brooklyn, NY 11210-4730
Mailing address
2555 Nostrand Ave
Brooklyn, NY 11210-4730
Phone (718) 951-8800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P84416 | Other | NY | LICENSE |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P84416 | NY | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1339545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1340841600000",
"number": "1124380316",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2555 NOSTRAND AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112104730",
"telephone_number": "718-951-8800",
"fax_number": "718-951-0846"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2555 NOSTRAND AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112104730",
"telephone_number": "718-951-8800",
"fax_number": "718-951-0846"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOBEL",
"first_name": "MEHDI",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-06-13",
"last_updated": "2012-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "P84416",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "P84416",
"state": "NY"
}
],
"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 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.