Individual provider Active NPI

Joy Lazo Parubrub, COTA

  • Occupational Therapy Assistant
  • Long Island City, NY
National Provider Identifier
1366985350
Registry record updated Nov 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
0086781 Issued in NY
Practice address
1111 44TH Rd # 402
Long Island City, NY 11101-5115
Phone
(718) 433-4434
NPI assigned
Nov 23, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 0086781 NY Primary

Addresses

Primary practice location

1111 44TH Rd # 402
Long Island City, NY 11101-5115

Mailing address

3548 33Rd St Apt 3a
Astoria, NY 11106-2217
Phone (310) 869-2006

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

LicenseStateTypeSpecialty
0086781NYMDOccupational Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1479859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479859200000",
    "number": "1366985350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3548 33RD ST APT 3A",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111062217",
            "telephone_number": "310-869-2006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 44TH RD # 402",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111015115",
            "telephone_number": "718-433-4434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARUBRUB",
        "first_name": "JOY",
        "middle_name": "LAZO",
        "name_prefix": "Ms.",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-23",
        "last_updated": "2016-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "NY",
            "license": "0086781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Island City, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2016; 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.