Individual provider Active NPI

Martha Veronica G Sermeno, COTA

  • Occupational Therapy Assistant
  • Forest Hills, NY
National Provider Identifier
1265083026
Registry record updated Nov 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
010187 Issued in NY
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

Updated by the provider on Nov 9, 2019

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 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

LicenseStateTypeSpecialty
010187NYMDPsychologist

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.

Verify at the official NPI Registry.