Active NPI
Markian Antonio Ozaruk, MHC
- Mental Health Counselor
- Croton on Hudson, NY
National Provider Identifier
1457048704
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- P118918
- Practice address
- 126 Grand St
Croton on Hudson, NY 10520-2346 - Phone
- (914) 271-5326
- NPI assigned
- Apr 18, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | P118918 | NY | Primary |
Addresses
Primary practice location
126 Grand St
Croton on Hudson, NY 10520-2346
Mailing address
126 Grand St
Croton on Hudson, NY 10520-2346
Phone (914) 271-5326
Other practice location 1
119 Olcott Ave
Croton ON Hudson, NY 10520-2534
Phone (914) 373-1908
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295064533 | 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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P118918 | NY | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1681776000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681776000000",
"number": "1457048704",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "126 GRAND ST",
"city": "CROTON ON HUDSON",
"state": "NY",
"postal_code": "105202346",
"telephone_number": "914-271-5326"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "126 GRAND ST",
"city": "CROTON ON HUDSON",
"state": "NY",
"postal_code": "105202346",
"telephone_number": "914-271-5326"
}
],
"practiceLocations": [
{
"address_1": "119 Olcott Ave",
"address_purpose": "LOCATION",
"city": "Croton ON Hudson",
"state": "NY",
"postal_code": "105202534",
"country_code": "US",
"telephone_number": "914-373-1908",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OZARUK",
"first_name": "MARKIAN",
"middle_name": "ANTONIO",
"name_prefix": "Mr.",
"credential": "MHC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-04-18",
"last_updated": "2023-04-18",
"certification_date": "2023-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NY",
"license": "P118918",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1295064533",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Croton on Hudson, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.