Individual provider Active NPI

Jack Dumsa

  • Physical Rehabilitation Occupational Therapist
  • New York, NY
National Provider Identifier
1508262122
Registry record updated Nov 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Rehabilitation Occupational TherapistTaxonomy code 225XP0019X
License
019112 Issued in NY
Practice address
192 Lexington Ave
Suite 220
New York, NY 10016-6823
Phone
(212) 802-1420
NPI assigned
Nov 10, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Rehabilitation Occupational Therapist 225XP0019X 019112 NY Primary

Addresses

Primary practice location

192 Lexington Ave
Suite 220
New York, NY 10016-6823

Mailing address

1002 Bushwick Ave
3D
Brooklyn, NY 11221-3715
Phone (810) 623-2811

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

NPI Registry JSON

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

{
    "created_epoch": "1415577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415577600000",
    "number": "1508262122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1002 BUSHWICK AVE",
            "address_2": "3D",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112213715",
            "telephone_number": "810-623-2811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "192 LEXINGTON AVE",
            "address_2": "SUITE 220",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100166823",
            "telephone_number": "212-802-1420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUMSA",
        "first_name": "JACK",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-11-10",
        "last_updated": "2014-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0019X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": "NY",
            "license": "019112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2014; 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.