Melanie Bamberger, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

008399 Issued in NY

Practice address

377 Main St
Center Moriches, NY 11934-3524

Phone

(631) 874-0571

Fax

(631) 878-0527

NPI assigned

Jun 3, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Out East Therapy of New York for OT, PT, SLP, RN and Psychology Servic

  • Early Intervention Provider Agency
  • Center Moriches, NY
  • NPI 1649414723
  NPD (past)

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

{
    "created_epoch": "1401753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401753600000",
    "number": "1336552843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1312",
            "city": "CENTER MORICHES",
            "state": "NY",
            "postal_code": "119347312",
            "telephone_number": "631-874-0571",
            "fax_number": "631-878-0527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "377 MAIN ST",
            "city": "CENTER MORICHES",
            "state": "NY",
            "postal_code": "119343524",
            "telephone_number": "631-874-0571",
            "fax_number": "631-878-0527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAMBERGER",
        "first_name": "MELANIE",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-03",
        "last_updated": "2014-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "NY",
            "license": "008399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Lauren Adams, LPN
• Eran Arvilli, DDS
• Shannon Raechel Austin, R.N.
• Martha Christine Baker, D.M.D.
• Kristen Beardsley
• Dana Berge, LMSW
• Pramod Bhanti, PT
• Jaclyn Marie Bonventre
• Amanda Loree Bowcock, LMHC

• Occupational Therapy Assistant in Center Moriches, NY
• Providers in Center Moriches, NY by specialty
• Occupational Therapy Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2014; 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.