Active NPI
Marie D Roy Licin
- Occupational Therapist
- Woodhaven, NY
National Provider Identifier
1275986507
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 020736
- Practice address
- 9406 Jamaica Ave
Woodhaven, NY 11421-2221 - Phone
- (631) 366-3876
- NPI assigned
- Jul 21, 2016
- Sex
- Female
- Sole proprietor
- No
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 Therapist | 225X00000X | 020736 | NY | Primary |
Addresses
Primary practice location
9406 Jamaica Ave
Woodhaven, NY 11421-2221
Mailing address
15 Eddie Ave
North Babylon, NY 11703-2712
Phone (631) 949-8392
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
Brooklyn, NY 11206
Phone (718) 701-7300
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anchor Health Homecare Services Inc | Current | Accepting new patients | |
| Brad & Ethan Health Solution Inc | Current | Accepting new patients |
Locations
46 Cook St
Brooklyn, NY 11206
Phone (718) 701-7300
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Brooklyn, NY
- NPI 1356071237
-
- Occupational Therapist
- North Babylon, NY
- NPI 1013878941
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1469059200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788998400000",
"number": "1275986507",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 EDDIE AVE",
"city": "NORTH BABYLON",
"state": "NY",
"postal_code": "117032712",
"telephone_number": "631-949-8392"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9406 JAMAICA AVE",
"city": "WOODHAVEN",
"state": "NY",
"postal_code": "114212221",
"telephone_number": "631-366-3876"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROY LICIN",
"first_name": "MARIE",
"middle_name": "D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-07-21",
"last_updated": "2026-09-10",
"certification_date": "2026-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "020736",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Woodhaven, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.