Active NPI
Marcia Junior Duverne, OTR/L
- Pediatric Occupational Therapist
- Forest Hills, NY
National Provider Identifier
1174898068
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- 014060-1
- Practice address
- 6701 110TH St
Forest Hills, NY 11375-2378 - Phone
- (718) 268-3137
- NPI assigned
- Mar 12, 2012
- 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 |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | 014060-1 | NY | Primary |
Addresses
Primary practice location
6701 110TH St
Forest Hills, NY 11375-2378
Mailing address
6701 110TH St
Forest Hills, NY 11375-2378
Phone (718) 268-3137
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 014060-1 | NY | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1331510400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1331510400000",
"number": "1174898068",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6701 110TH ST",
"city": "FOREST HILLS",
"state": "NY",
"postal_code": "113752378",
"telephone_number": "718-268-3137"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6701 110TH ST",
"city": "FOREST HILLS",
"state": "NY",
"postal_code": "113752378",
"telephone_number": "718-268-3137"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUVERNE",
"first_name": "MARCIA",
"middle_name": "JUNIOR",
"name_prefix": "Mrs.",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-03-12",
"last_updated": "2012-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "NY",
"license": "014060-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Forest Hills, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 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.