Active NPI
Martha Vonbujdoss, OTR/L
- Occupational Therapist
- Brooklyn, NY
National Provider Identifier
1447422480
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 009106-1
- Practice address
- 871 Saint Marks Ave Apt 2
Brooklyn, NY 11213-1583 - Phone
- (917) 847-4142
- NPI assigned
- Mar 31, 2008
- Last updated
- May 1, 2012
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 003321-1 | NY | |
| Occupational Therapist | 225X00000X | 009106-1 | NY | Primary |
Addresses
Primary practice location
871 Saint Marks Ave Apt 2
Brooklyn, NY 11213-1583
Mailing address
871 St Marks Avenue, #2
Brooklyn, NY 11213-1583
Phone (917) 847-4142
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003321-1 | Other | NY | LICENSE # |
| 009106 | Other | NY | LINCESE # |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 003321-1 | NY | MD | Massage Therapist |
| 009106-1 | NY | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1206921600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1335830400000",
"number": "1447422480",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "871 ST MARKS AVENUE, #2",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112131583",
"telephone_number": "917-847-4142"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "871 SAINT MARKS AVE APT 2",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112131583",
"telephone_number": "917-847-4142"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VONBUJDOSS",
"first_name": "MARTHA",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-03-31",
"last_updated": "2012-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "NY",
"license": "003321-1",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "009106-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE #",
"identifier": "003321-1",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LINCESE #",
"identifier": "009106",
"state": "NY"
}
],
"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 May 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.