111-11 118TH Street Ozone Park N.Y.

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

License

004875-1 Issued in NY

Legal business name

111-11 118TH STREET OZONE PARK N.Y.

Practice address

11111 118TH St
South Ozone Park, NY 11420-1220

Phone

(718) 843-8390

Fax

(718) 641-2474

NPI assigned

Apr 2, 2012

Organization subpart

No

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

Authorized official

Name

Ms. Maura Theresa Trainor, O.T./L

Title

Occupational Therapist

Phone

(718) 843-8390

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ava J Brathwaite-Rushing, RN

  • School Registered Nurse
  • South Ozone Park, NY
  • NPI 1144595935
  NPD (past)
• Beth A Chalawsky, MA, CCC-SLP

  • Speech-Language Pathologist
  • South Ozone Park, NY
  • NPI 1700133220
  NPD (past)

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

{
    "created_epoch": "1333324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333324800000",
    "number": "1194091397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11111 118TH ST",
            "city": "SOUTH OZONE PARK",
            "state": "NY",
            "postal_code": "114201220",
            "telephone_number": "718-843-8390",
            "fax_number": "718-641-2474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11111 118TH ST",
            "city": "SOUTH OZONE PARK",
            "state": "NY",
            "postal_code": "114201220",
            "telephone_number": "718-843-8390",
            "fax_number": "718-641-2474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "111-11 118TH STREET OZONE PARK N.Y.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-02",
        "last_updated": "2012-04-02",
        "status": "A",
        "authorized_official_last_name": "TRAINOR",
        "authorized_official_first_name": "MAURA",
        "authorized_official_middle_name": "THERESA",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "718-843-8390",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "O.T./L"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NY",
            "license": "004875-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• A B C Shuttle Services Corporation
• Ismail Abdul Qaadir, LPN
• Alfred E Abraham, MD
• Adam I Cohen DPT PC
• Olakanmi Omolara Adeniyi, PT

• Developmentally Disabled Services Day Training Agency in South Ozone Park, NY
• Providers in South Ozone Park, NY by specialty
• Developmentally Disabled Services Day Training Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 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.

Verify at the official NPI Registry.