Individual provider Active NPI

Merrin Cheriyan

  • Occupational Therapist
  • Oyster Bay, NY
National Provider Identifier
1306467253
Registry record updated Mar 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OC016706 Issued in PA
Practice address
150 South St
Oyster Bay, NY 11771-2244
Phone
(516) 558-7358
NPI assigned
May 1, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OC016706 PA Primary

Addresses

Primary practice location

150 South St
Oyster Bay, NY 11771-2244

Mailing address

6136 170TH St
Fresh Meadows, NY 11365-1900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220216000587 NY Practitioner - Occupational Therapist in Private Practice 5597158584 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
My Medical PCGroup PAC ID 0143610600, 93 clinicians

Practice addresses (Care Compare)

6355 Broadway
Bronx, NY 10471-2701
Phone (718) 708-0940

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OC016706PAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Peyman Younesi MD PLLC CurrentSince May 1, 2022 Accepting new patients
My Medical PC CurrentSince Jan 10, 2022 Accepting new patients
Ats Rehab OT & PT & SLP PLLC Occupational Therapist CurrentSince Sep 16, 2023 Accepting new patients

Locations

1105 E County Line Rd
Ste 213
Lakewood, NJ 08701

3438 Bell Blvd
Ste 301
Bayside, NY 11361

147 2nd Ave
Brentwood, NY 11717
Phone (631) 273-7204

6355 Broadway
Bronx, NY 10471
Phone (718) 549-3300

2830 Pitkin Ave
Brooklyn, NY 11208
Phone (347) 420-8295

10825 Horace Harding Expy
Flushing, NY 11368
Phone (516) 216-4108

8008 45th Ave
Flushing, NY 11373
Phone (718) 373-0777

820 Front St
Hempstead, NY 11550
Phone (516) 564-1100

9131 175th St
Jamaica, NY 11432
Phone (340) 709-3133

274 W Broadway
Long Beach, NY 11561
Phone (516) 431-1400

11502 Ocean Promenade
Rockaway Park, NY 11694
Phone (718) 627-8700

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722

Organizations & group practices 3

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": "1588291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710288000000",
    "number": "1306467253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6136 170TH ST",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113651900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 SOUTH ST",
            "city": "OYSTER BAY",
            "state": "NY",
            "postal_code": "117712244",
            "telephone_number": "516-558-7358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHERIYAN",
        "first_name": "MERRIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-01",
        "last_updated": "2024-03-13",
        "certification_date": "2024-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC016706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oyster Bay, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.