Organization Active NPI

Kamal T. Buchanan OT, PLLC

  • Early Intervention Provider Agency
  • Brooklyn, NY
National Provider Identifier
1497203723
Registry record updated Sep 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
License
015035-1 Issued in NY
Legal business name
KAMAL T. BUCHANAN OT, PLLC
Practice address
2435 Coyle St FL 2
Brooklyn, NY 11235-1207
Phone
(347) 409-0947
Fax
(347) 587-1461
NPI assigned
Sep 15, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Kamal T Buchanan, OTR/L
Title
Occupational Therapist
Phone
(347) 409-0947

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X 015035-1 NY Primary

Addresses

Primary practice location

2435 Coyle St FL 2
Brooklyn, NY 11235-1207

Mailing address

2435 Coyle St FL 2
Brooklyn, NY 11235-1207
Phone (347) 409-0947

National Provider Directory

National Provider Directory
Tax ID family
Kamal T Buchanan OT PLLC2 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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1473897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473897600000",
    "number": "1497203723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2435 COYLE ST FL 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112351207",
            "telephone_number": "347-409-0947",
            "fax_number": "347-587-1461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2435 COYLE ST FL 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112351207",
            "telephone_number": "347-409-0947",
            "fax_number": "347-587-1461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAMAL T. BUCHANAN OT, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-15",
        "last_updated": "2016-09-15",
        "status": "A",
        "authorized_official_last_name": "BUCHANAN",
        "authorized_official_first_name": "KAMAL",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "347-409-0947",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": "015035-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2016; 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.