Individual provider Active NPI

Dana Kucharsky, OTR/L

  • Specialist
  • New York, NY
National Provider Identifier
1174778443
Registry record updated Nov 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
014165 Issued in NY
Practice address
205 W End Ave
Apt 15W
New York, NY 10023-4804
Phone
(954) 536-0147
NPI assigned
Nov 29, 2008
Last updated
Nov 29, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 29, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 014165 NY Primary

Addresses

Primary practice location

205 W End Ave
Apt 15W
New York, NY 10023-4804

Mailing address

205 W End Ave
Apt 15W
New York, NY 10023-4804

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

LicenseStateTypeSpecialty
014165NYMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1227916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1227916800000",
    "number": "1174778443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 W END AVE",
            "address_2": "APT 15W",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100234804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 W END AVE",
            "address_2": "APT 15W",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100234804",
            "telephone_number": "954-536-0147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUCHARSKY",
        "first_name": "DANA",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-29",
        "last_updated": "2008-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "014165",
            "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 Nov 29, 2008; 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.