Organization Active NPI

Roseann Vanderbeck Otrpc

  • Early Intervention Provider Agency
  • East Rockaway, NY
National Provider Identifier
1487944054
Registry record updated Apr 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
License
002930-1 Issued in NY
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

Updated by the provider on Apr 15, 2011

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)CodeLicenseStatePrimary
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 PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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.

Verify at the official NPI Registry.