Active NPI
Brooke Paola Serebryansky
- Occupational Therapist
- Astoria, NY
National Provider Identifier
1497328157
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 025808
- Practice address
- 2520 Ditmars Blvd
Astoria, NY 11105-3121 - Phone
- (516) 428-4962
- NPI assigned
- Jul 21, 2021
- 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 | 025808 | NY | Primary |
Addresses
Primary practice location
2520 Ditmars Blvd
Astoria, NY 11105-3121
Mailing address
26 Carman Ave
Cedarhurst, NY 11516-1905
Phone (516) 428-4962
Other practice location 1
26 Carman Ave
Cedarhurst, NY 11516-1905
Phone (516) 428-4962
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 025808 | NY | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1626825600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626825600000",
"number": "1497328157",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26 CARMAN AVE",
"city": "CEDARHURST",
"state": "NY",
"postal_code": "115161905",
"telephone_number": "516-428-4962"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2520 DITMARS BLVD",
"city": "ASTORIA",
"state": "NY",
"postal_code": "111053121",
"telephone_number": "516-428-4962"
}
],
"practiceLocations": [
{
"address_1": "26 Carman Ave",
"address_purpose": "LOCATION",
"city": "Cedarhurst",
"state": "NY",
"postal_code": "115161905",
"country_code": "US",
"telephone_number": "516-428-4962",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SEREBRYANSKY",
"first_name": "BROOKE",
"middle_name": "PAOLA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-07-21",
"last_updated": "2021-07-21",
"certification_date": "2021-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "025808",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Astoria, NY
- Select Medical PLLC (Select Primary Care)
- Allis Jayne Semczuk, OTR/L
- Semma Medical PLLC
- Maryrose Seno, SPEECH THERAPIST
- Changjin Seo, M.D.
- Serenity Chiropractic Healthcare
- Espa Sergiou, SLP
- Dorothy Florence Setari, LPN
- Seth Mejias, Family Health Nurse Practitioner, PLLC
- Setting the Pace Physical Therapy
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.