Active NPI
Maria Spoljaric
- Specialist
- Bronx, NY
National Provider Identifier
1487891149
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 013647
- Practice address
- 18 Metropolitan Oval Apt 8H
Bronx, NY 10462-6791 - Phone
- (718) 799-6148
- Fax
- (347) 398-9898
- NPI assigned
- Jan 15, 2009
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Specialist | 174400000X | 013647 | NY | Primary |
Addresses
Primary practice location
18 Metropolitan Oval Apt 8H
Bronx, NY 10462-6791
Mailing address
18 Metropolitan Oval Apt 8H
Bronx, NY 10462-6791
Phone (718) 799-6148
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090403000018 | NY | Practitioner - Occupational Therapist in Private Practice | 2860549169 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 013647 | NY | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Welllife Network Inc. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Case Management Agency
- Coram, NY
- NPI 1386817906
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1231977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1231977600000",
"number": "1487891149",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18 METROPOLITAN OVAL APT 8H",
"city": "BRONX",
"state": "NY",
"postal_code": "104626791",
"telephone_number": "718-799-6148",
"fax_number": "347-398-9898"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18 METROPOLITAN OVAL APT 8H",
"city": "BRONX",
"state": "NY",
"postal_code": "104626791",
"telephone_number": "718-799-6148",
"fax_number": "347-398-9898"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPOLJARIC",
"first_name": "MARIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-01-15",
"last_updated": "2009-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": "013647",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bronx, NY
- Split Rock Rehabilitation & Health Care Center, LLC
- Split Rock Rehabilitation & Health Care Center, LLC
- Split Rock Rehabilitation and Health Care Center, LLC
- Tyler Spohr
- Hayley Spoljaric, MD
- Luke Richard Sponholz, M.D.
- Carlton Ivor Spooner Sr., LPN
- Kedeshia Tamala Spooner, LMSW
- Spore Test Inc
- Sports Medicine Specialist P.C.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.