Active NPI
Krizia Mercedes Gowda
- Occupational Therapy Assistant
- New Rochelle, NY
National Provider Identifier
1477828259
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 006542-1
- Practice address
- 20 Cedar St
Suite 302
New Rochelle, NY 10801-5247 - Phone
- (718) 949-0635
- Fax
- (718) 949-0635
- NPI assigned
- Mar 13, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 006542-1 | NY | Primary |
Addresses
Primary practice location
20 Cedar St
Suite 302
New Rochelle, NY 10801-5247
Mailing address
259-24 147 Rd
Rosedale, NY 11422
Phone (718) 949-0635
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 |
|---|---|---|---|
| 006542-1 | NY | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1331596800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1331596800000",
"number": "1477828259",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "259-24 147 RD",
"city": "ROSEDALE",
"state": "NY",
"postal_code": "11422",
"telephone_number": "718-949-0635",
"fax_number": "718-949-0635"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 CEDAR ST",
"address_2": "SUITE 302",
"city": "NEW ROCHELLE",
"state": "NY",
"postal_code": "108015247",
"telephone_number": "718-949-0635",
"fax_number": "718-949-0635"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOWDA",
"first_name": "KRIZIA",
"middle_name": "MERCEDES",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-03-13",
"last_updated": "2012-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "NY",
"license": "006542-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Rochelle, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 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.