Organization Active NPI

Ocean Rehab

  • Occupational Therapist
  • Brooklyn, NY
National Provider Identifier
1285024471
Registry record updated Jan 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
019274 Issued in NY
Legal business name
OCEAN REHAB
Practice address
1911 Avenue L
Lower Level
Brooklyn, NY 11230-5002
Phone
(347) 603-5656
NPI assigned
Jan 27, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2015

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

Authorized official

Name
Mrs. Shalva Goldbaum, M.S. OTR/L
Title
Managing Member
Phone
(347) 603-5656

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225X00000X 019274 NY Primary

Addresses

Primary practice location

1911 Avenue L
Lower Level
Brooklyn, NY 11230-5002

Mailing address

1911 Avenue L
Lower Level
Brooklyn, NY 11230-5002
Phone (347) 603-5656

National Provider Directory

National Provider Directory

Locations

1911 Avenue L
Lowr
Brooklyn, NY 11230
Phone (718) 434-0600

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1422316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422316800000",
    "number": "1285024471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1911 AVENUE L",
            "address_2": "LOWER LEVEL",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112305002",
            "telephone_number": "347-603-5656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1911 AVENUE L",
            "address_2": "LOWER LEVEL",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112305002",
            "telephone_number": "347-603-5656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCEAN REHAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-27",
        "last_updated": "2015-01-27",
        "status": "A",
        "authorized_official_last_name": "GOLDBAUM",
        "authorized_official_first_name": "SHALVA",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "347-603-5656",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.S. OTR/L"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "019274",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2015; 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.