Active NPI
Martha Veronica G Sermeno, COTA
- Occupational Therapy Assistant
- Forest Hills, NY
National Provider Identifier
1265083026
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 010187
- Practice address
- 10818 Queens Blvd # 4a
Forest Hills, NY 11375-4748 - Phone
- (212) 804-7659
- NPI assigned
- Sep 24, 2019
- 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 |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 010187 | NY | Primary |
Addresses
Primary practice location
10818 Queens Blvd # 4a
Forest Hills, NY 11375-4748
Mailing address
33 Douglas Ave Apt 2C
Yonkers, NY 10703-1833
Phone (646) 331-2305
Other practice location 1
511 Hempstead Ave Ste 10
West Hempstead, NY 11552-2737
Phone (516) 565-2781
Other practice location 2
2700 Westchester Ave Ste 300
Purchase, NY 10577-2554
Phone (631) 385-7780 ext. 626
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 |
|---|---|---|---|
| 010187 | NY | MD | Psychologist |
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1569283200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1573257600000",
"number": "1265083026",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33 DOUGLAS AVE APT 2C",
"city": "YONKERS",
"state": "NY",
"postal_code": "107031833",
"telephone_number": "646-331-2305"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10818 QUEENS BLVD # 4A",
"city": "FOREST HILLS",
"state": "NY",
"postal_code": "113754748",
"telephone_number": "212-804-7659"
}
],
"practiceLocations": [
{
"address_1": "511 Hempstead Ave Ste 10",
"address_purpose": "LOCATION",
"city": "West Hempstead",
"state": "NY",
"postal_code": "115522737",
"country_code": "US",
"telephone_number": "516-565-2781",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2700 Westchester Ave Ste 300",
"address_purpose": "LOCATION",
"city": "Purchase",
"state": "NY",
"postal_code": "105772554",
"country_code": "US",
"telephone_number": "631-385-7780 x626",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SERMENO",
"first_name": "MARTHA VERONICA",
"middle_name": "G",
"credential": "COTA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-09-24",
"last_updated": "2019-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "NY",
"license": "010187",
"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 Nov 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.