Active NPI
Roseann Vanderbeck Otrpc
- Early Intervention Provider Agency
- East Rockaway, NY
National Provider Identifier
1487944054
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Early Intervention Provider Agency
- License
- 002930-1
- Legal business name
- ROSEANN VANDERBECK OTRPC
- Practice address
- 559 Atlantic Ave
202
East Rockaway, NY 11518-1530 - Phone
- (516) 872-4605
- Fax
- (516) 872-4606
- NPI assigned
- Apr 15, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Roseann Vanderbeck, OTR
- Title
- Owner/Director
- Phone
- (516) 241-3684
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Early Intervention Provider Agency | 252Y00000X | 002930-1 | NY | Primary |
Addresses
Primary practice location
559 Atlantic Ave
202
East Rockaway, NY 11518-1530
Mailing address
71 Clinton Ave
Lynbrook, NY 11563-4137
Phone (516) 241-3684
National Provider Directory
National Provider Directory- Tax ID family
- Roseann Vanderbeck Otr PC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Pediatric Occupational Therapist
- East Rockaway, NY
- NPI 1942462338
Locations
559 Atlantic Ave
#202
East Rockaway, NY 11518
Phone (516) 872-4605
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1302825600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1302825600000",
"number": "1487944054",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "71 CLINTON AVE",
"city": "LYNBROOK",
"state": "NY",
"postal_code": "115634137",
"telephone_number": "516-241-3684",
"fax_number": "516-872-4605"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "559 ATLANTIC AVE",
"address_2": "202",
"city": "EAST ROCKAWAY",
"state": "NY",
"postal_code": "115181530",
"telephone_number": "516-872-4605",
"fax_number": "516-872-4606"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROSEANN VANDERBECK OTRPC",
"organizational_subpart": "NO",
"enumeration_date": "2011-04-15",
"last_updated": "2011-04-15",
"status": "A",
"authorized_official_last_name": "VANDERBECK",
"authorized_official_first_name": "ROSEANN",
"authorized_official_title_or_position": "OWNER/DIRECTOR",
"authorized_official_telephone_number": "516-241-3684",
"authorized_official_credential": "OTR"
},
"taxonomies": [
{
"code": "252Y00000X",
"taxonomy_group": "",
"desc": "Early Intervention Provider Agency",
"state": "NY",
"license": "002930-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in East Rockaway, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.