Active NPI
Marina Kupershteyn
- Occupational Therapist
- Brooklyn, NY
National Provider Identifier
1144544735
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 007394
- Practice address
- 2511 Ocean Ave
Brooklyn, NY 11229-3950 - Phone
- (718) 743-7090
- NPI assigned
- Mar 25, 2010
- Sex
- Female
- Sole proprietor
- Yes
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 | 007394 | NY | Primary |
Addresses
Primary practice location
2511 Ocean Ave
Brooklyn, NY 11229-3950
Mailing address
2445 E 71St St
Brooklyn, NY 11234-6513
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060123000270 | NY | Practitioner - Occupational Therapist in Private Practice | 4587688163 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1269475200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1269475200000",
"number": "1144544735",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2445 E 71ST ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112346513"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2511 OCEAN AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112293950",
"telephone_number": "718-743-7090"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUPERSHTEYN",
"first_name": "MARINA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-03-25",
"last_updated": "2010-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "007394",
"primary": true
}
],
"identifiers": [],
"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 Mar 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.