Individual provider Active NPI

Rosemary Chung, OTR/L

  • Pediatric Occupational Therapist
  • Staten Island, NY
National Provider Identifier
1215423231
Registry record updated Jul 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
022382 Issued in NY
Practice address
1466 Manor Rd
Staten Island, NY 10314-7027
Phone
(718) 475-5200
NPI assigned
Jul 2, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X 46TR00821800 NJ
Pediatric Occupational Therapist 225XP0200X 18525 CA
Pediatric Occupational Therapist 225XP0200X 022382 NY Primary

Addresses

Primary practice location

1466 Manor Rd
Staten Island, NY 10314-7027

Mailing address

4 Combs PL
Milltown, NJ 08850-2184

Other practice location 1

4 Combs Pl
Milltown, NJ 08850-2184
Phone (201) 757-2149

Other practice location 2

240 Towne Centre Dr
North Brunswick, NJ 08902-1230
Phone (732) 997-7398

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
18525CAMDPediatric Occupational Therapist
46TR00821800NJMDPediatric Occupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1530489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753920000000",
    "number": "1215423231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 COMBS PL",
            "city": "MILLTOWN",
            "state": "NJ",
            "postal_code": "088502184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1466 MANOR RD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103147027",
            "telephone_number": "718-475-5200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4 Combs Pl",
            "address_purpose": "LOCATION",
            "city": "Milltown",
            "state": "NJ",
            "postal_code": "088502184",
            "country_code": "US",
            "telephone_number": "201-757-2149",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "240 Towne Centre Dr",
            "address_purpose": "LOCATION",
            "city": "North Brunswick",
            "state": "NJ",
            "postal_code": "089021230",
            "country_code": "US",
            "telephone_number": "732-997-7398",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHUNG",
        "first_name": "ROSEMARY",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-02",
        "last_updated": "2025-07-31",
        "certification_date": "2025-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NJ",
            "license": "46TR00821800",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "CA",
            "license": "18525",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NY",
            "license": "022382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2025; 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.