Marjorie Opont

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

018604 Issued in NY

Practice address

7120 110TH St
Forest Hills, NY 11375-4844

Phone

(718) 305-1190

NPI assigned

Apr 25, 2019

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

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1556150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556150400000",
    "number": "1447814413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "295 KIMBALL ST",
            "city": "WOODBRIDGE",
            "state": "NJ",
            "postal_code": "070952518",
            "telephone_number": "732-387-2747",
            "fax_number": "732-387-5422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7120 110TH ST",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113754844",
            "telephone_number": "718-305-1190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OPONT",
        "first_name": "MARJORIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-25",
        "last_updated": "2019-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "018604",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE REGISTRATION",
            "identifier": "018604",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@athomeptot2.com",
            "affiliation": "N",
            "address_1": "7120 110th St",
            "city": "Forest Hills",
            "state": "NY",
            "country_code": "US",
            "postal_code": "113754844",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Occupational Therapist in Forest Hills, NY
• Providers in Forest Hills, 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 25, 2019; 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.