Eunjung An, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

022368 Issued in NY

Practice address

675 3Rd Ave FL 5
New York, NY 10017-5731

Phone

(212) 204-5190

NPI assigned

Mar 26, 2018

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

Enrolled in NY

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Core Therapy Services PT OT PLLC

  • Occupational Therapist
  • Brooklyn, NY
  • NPI 1679217368
  Medicare reassignment NPD
• Eunjung an Otrl Inc

  • Home Health Agency
  • Brooklyn, NY
  • NPI 1083458517
  NPD Authorized official

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

{
    "created_epoch": "1522022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650067200000",
    "number": "1437654282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 HOYT ST # 7R",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112015834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "675 3RD AVE FL 5",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100175731",
            "telephone_number": "212-204-5190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AN",
        "first_name": "EUNJUNG",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-26",
        "last_updated": "2022-04-16",
        "certification_date": "2022-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "022368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael M Amzallag, M.D.
• An Dermatology of New York P C
• Nami An-Mallea
• Daniel An
• Daniel An, MD
• Eunteak An
• Grace An, LCSW
• Horyul An, L.AC
• Hsing An
• Huanlin An, M.D

• Occupational Therapist in New York, NY
• Providers in New York, NY by specialty
• Occupational Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.