Active NPI
Abraham Cherian Jr., MS, OTR/L
- Occupational Therapist
- Staten Island, NY
National Provider Identifier
1285877357
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 12301
- Practice address
- 120 Park Ave
Staten Island, NY 10302-1442 - Phone
- (917) 583-8842
- NPI assigned
- Apr 19, 2009
- Sex
- Male
- 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 Therapist | 225X00000X | 12301 | NY | Primary |
Addresses
Primary practice location
120 Park Ave
Staten Island, NY 10302-1442
Mailing address
120 Park Ave
Staten Island, NY 10302-1442
Phone (917) 583-8842
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12301 | NY | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1240099200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1240099200000",
"number": "1285877357",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 PARK AVE",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103021442",
"telephone_number": "917-583-8842"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 PARK AVE",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103021442",
"telephone_number": "917-583-8842"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHERIAN",
"first_name": "ABRAHAM",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "MS, OTR/L",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-04-19",
"last_updated": "2009-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "12301",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Staten Island, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.