Individual provider Active NPI

Mazal Adina Hershkop

  • Occupational Therapist
  • Brooklyn, NY
National Provider Identifier
1366913675
Registry record updated Dec 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
022130 Issued in NY
Practice address
6220 14TH Ave
Brooklyn, NY 11219-5337
Phone
(718) 331-1624
NPI assigned
Dec 13, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2018

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 022130 NY Primary

Addresses

Primary practice location

6220 14TH Ave
Brooklyn, NY 11219-5337

Mailing address

890 E 16TH St Apt 2
Brooklyn, NY 11230-3056

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

NPI Registry JSON

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

{
    "created_epoch": "1544659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544659200000",
    "number": "1366913675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "890 E 16TH ST APT 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112303056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6220 14TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112195337",
            "telephone_number": "718-331-1624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERSHKOP",
        "first_name": "MAZAL",
        "middle_name": "ADINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-13",
        "last_updated": "2018-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "022130",
            "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 Dec 13, 2018; 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.