Individual provider Active NPI

Craig J Tollin, OTR/L

  • Specialist
  • New York, NY
National Provider Identifier
1215179486
Registry record updated Apr 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
008191-1 Issued in NY
Practice address
740 W End Ave
Suite #3
New York, NY 10025-6246
Phone
(212) 665-5119
Fax
(212) 666-3913
NPI assigned
Apr 1, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 1, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 008191-1 NY Primary

Addresses

Primary practice location

740 W End Ave
Suite #3
New York, NY 10025-6246

Mailing address

56 Holland PL
Hartsdale, NY 10530-2503
Phone (914) 831-9220

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

LicenseStateTypeSpecialty
008191-1NYMDOccupational Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1238544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1238544000000",
    "number": "1215179486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56 HOLLAND PL",
            "city": "HARTSDALE",
            "state": "NY",
            "postal_code": "105302503",
            "telephone_number": "914-831-9220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 W END AVE",
            "address_2": "SUITE #3",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100256246",
            "telephone_number": "212-665-5119",
            "fax_number": "212-666-3913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOLLIN",
        "first_name": "CRAIG",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-04-01",
        "last_updated": "2009-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "008191-1",
            "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 Apr 1, 2009; 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.