Active NPI
Tami Melissa Dubitsky, M.S. OTR L
- Occupational Therapist
- Staten Island, NY
National Provider Identifier
1457575441
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 11833
- Practice address
- 31 Boone Street
Staten Island, NY 10314-7408 - Phone
- (917) 826-6203
- NPI assigned
- Apr 12, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 11833 | FL | Primary |
Addresses
Primary practice location
31 Boone Street
Staten Island, NY 10314-7408
Mailing address
31 Boone Street
Staten Island, NY 10314-7408
Phone (917) 826-6203
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8918635 00 | Medicaid | FL |
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11833 | FL | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1332806400000",
"number": "1457575441",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "31 BOONE STREET",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103147408",
"telephone_number": "917-826-6203"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "31 BOONE STREET",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103147408",
"telephone_number": "917-826-6203"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUBITSKY",
"first_name": "TAMI",
"middle_name": "MELISSA",
"credential": "M.S. OTR L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-12",
"last_updated": "2012-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "FL",
"license": "11833",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8918635 00",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Staten Island, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 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.