Individual provider Active NPI

Maxwell Ogujiuba, OTR/L

  • Occupational Therapist
  • Brooklyn, NY
National Provider Identifier
1164917134
Registry record updated Jun 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
022579 Issued in NY
Practice address
216 Rockaway Ave Apt 3D
Brooklyn, NY 11233-4223
Phone
(347) 840-4920
NPI assigned
Jun 22, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 22, 2018

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 022579 NY Primary

Addresses

Primary practice location

216 Rockaway Ave Apt 3D
Brooklyn, NY 11233-4223

Mailing address

216 Rockaway Ave Apt 3D
Brooklyn, NY 11233-4223
Phone (347) 840-4920

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)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1529625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529625600000",
    "number": "1164917134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 ROCKAWAY AVE APT 3D",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112334223",
            "telephone_number": "347-840-4920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 ROCKAWAY AVE APT 3D",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112334223",
            "telephone_number": "347-840-4920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OGUJIUBA",
        "first_name": "MAXWELL",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-06-22",
        "last_updated": "2018-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "022579",
            "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 Jun 22, 2018; 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.