Active NPI
Jameela John, OTR/L
- Occupational Therapist
- New York, NY
National Provider Identifier
1487194403
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 021224
- Practice address
- 675 3Rd Ave FL 5
New York, NY 10017-5731 - Phone
- (516) 410-5932
- NPI assigned
- Feb 24, 2017
- 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 | 021224 | NY | Primary |
Addresses
Primary practice location
675 3Rd Ave FL 5
New York, NY 10017-5731
Mailing address
675 Third Ave
5TH Floor
New York, NY 10017
Other practice location 1
1770 Madison Ave
Apt 3D
New York, NY 10035-4787
Phone (516) 410-5932
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)
- Enrolled
Interoperability endpoints
- jameela.john.p2@direct.ucpnyc.nextgenshare.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1487894400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1487194403",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "675 THIRD AVE",
"address_2": "5TH FLOOR",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10017"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "675 3RD AVE FL 5",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100175731",
"telephone_number": "516-410-5932"
}
],
"practiceLocations": [
{
"address_1": "1770 Madison Ave",
"address_2": "Apt 3D",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100354787",
"country_code": "US",
"telephone_number": "516-410-5932",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JOHN",
"first_name": "JAMEELA",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-02-24",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "021224",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.