Active NPI
Ilana Hertzberg, OTR
- Occupational Therapist
- Flushing, NY
National Provider Identifier
1306137872
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 004712-1
- Practice address
- 14118 70TH Rd
Flushing, NY 11367-1937 - Phone
- (718) 575-8324
- NPI assigned
- May 2, 2011
- 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 | 004712-1 | NY | Primary |
Addresses
Primary practice location
14118 70TH Rd
Flushing, NY 11367-1937
Mailing address
14118 70TH Rd
Flushing, NY 11367-1937
Phone (718) 575-8324
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 |
|---|---|---|---|
| 004712-1 | NY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1304294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1304294400000",
"number": "1306137872",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14118 70TH RD",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113671937",
"telephone_number": "718-575-8324"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14118 70TH RD",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113671937",
"telephone_number": "718-575-8324"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERTZBERG",
"first_name": "ILANA",
"name_prefix": "Mrs.",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-05-02",
"last_updated": "2011-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "004712-1",
"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 May 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.