Individual provider Active NPI

Juana Dobrzynski

  • Pediatric Occupational Therapist
  • Flushing, NY
National Provider Identifier
1285100347
Registry record updated Oct 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
P13713 Issued in NY
Practice address
14628 Jasmine Ave
Flushing, NY 11355-2248
Phone
(718) 352-0104
NPI assigned
Oct 16, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 16, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X P13713 NY Primary

Addresses

Primary practice location

14628 Jasmine Ave
Flushing, NY 11355-2248

Mailing address

55 Ann Ave
Riverhead, NY 11901-3401

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
P13713NYMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
New York League for Early Learning - the Clearview School Past Accepting new patients
New York League for Early Learning - the Clearview School Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1539648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539648000000",
    "number": "1285100347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 ANN AVE",
            "city": "RIVERHEAD",
            "state": "NY",
            "postal_code": "119013401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14628 JASMINE AVE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113552248",
            "telephone_number": "718-352-0104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOBRZYNSKI",
        "first_name": "JUANA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-16",
        "last_updated": "2018-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NY",
            "license": "P13713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2018; 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.