Active NPI
Jay M Sarkar, OTR
- Occupational Therapist
- Flushing, NY
National Provider Identifier
1396851481
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 010855-1
- Practice address
- 4344 Kissena Blvd
Ste la
Flushing, NY 11355-3766 - Phone
- (718) 878-2224
- Fax
- (718) 878-2010
- NPI assigned
- Aug 22, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 010855-1 | NY | Primary |
| Occupational Therapist | 225X00000X | 4165 | MA |
Addresses
Primary practice location
4344 Kissena Blvd
Ste la
Flushing, NY 11355-3766
Mailing address
PO Box 528160
Flushing, NY 11352-8160
Phone (718) 878-2224
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02623334 | Medicaid | NY |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 010855-1 | NY | MD | Physical Therapist |
| 4165 | MA | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156204800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1396851481",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 528160",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113528160",
"telephone_number": "718-878-2224",
"fax_number": "718-878-2010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4344 KISSENA BLVD",
"address_2": "STE LA",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113553766",
"telephone_number": "718-878-2224",
"fax_number": "718-878-2010"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SARKAR",
"first_name": "JAY",
"middle_name": "M",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "010855-1",
"primary": true
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MA",
"license": "4165",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02623334",
"state": "NY"
}
],
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.