Active NPI
Marlena Joseph
- Occupational Therapist
- Brooklyn, NY
National Provider Identifier
1285990101
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 012781-1
- Practice address
- 5400 Tilden Ave
Brooklyn, NY 11203 - Phone
- (718) 346-6240
- Fax
- (718) 346-6240
- NPI assigned
- Apr 4, 2012
- Sex
- Female
- 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 | 012781-1 | NY | Primary |
Addresses
Primary practice location
5400 Tilden Ave
Brooklyn, NY 11203
Mailing address
11 Roosevelt Ave
Greenlawn, NY 11740-3138
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
| License | State | Type | Specialty |
|---|---|---|---|
| 012781-1 | NY | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1333497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1336521600000",
"number": "1285990101",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 ROOSEVELT AVE",
"city": "GREENLAWN",
"state": "NY",
"postal_code": "117403138"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5400 TILDEN AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11203",
"telephone_number": "718-346-6240",
"fax_number": "718-346-6240"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOSEPH",
"first_name": "MARLENA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-04-04",
"last_updated": "2012-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "012781-1",
"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 May 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.