Individual provider Active NPI

Bozena Lucyna Samojedny, OTA

  • Occupational Therapy Assistant
  • Maspeth, NY
National Provider Identifier
1215181060
Registry record updated Nov 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
006177 Issued in NY
Practice address
5933 60TH Rd
Maspeth, NY 11378-3515
Phone
(917) 622-4473
Fax
(718) 497-4848
NPI assigned
Nov 6, 2008
Last updated
Nov 6, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 6, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 006177 NY Primary

Addresses

Primary practice location

5933 60TH Rd
Maspeth, NY 11378-3515

Mailing address

5933 60TH Rd
Maspeth, NY 11378-3515
Phone (917) 622-4473

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": "1225929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225929600000",
    "number": "1215181060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5933 60TH RD",
            "city": "MASPETH",
            "state": "NY",
            "postal_code": "113783515",
            "telephone_number": "917-622-4473",
            "fax_number": "718-497-4848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5933 60TH RD",
            "city": "MASPETH",
            "state": "NY",
            "postal_code": "113783515",
            "telephone_number": "917-622-4473",
            "fax_number": "718-497-4848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMOJEDNY",
        "first_name": "BOZENA",
        "middle_name": "LUCYNA",
        "name_prefix": "Mrs.",
        "credential": "OTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-06",
        "last_updated": "2008-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "NY",
            "license": "006177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maspeth, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 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.