James Evbanvban Guobadia, M. SC, OTD, OTR/L

Primary specialty

Physical Rehabilitation Occupational TherapistTaxonomy code 225XP0019X

License

004895-1 Issued in NY

Practice address

356 Stuyvesant Ave
Brooklyn, NY 11233-1028

Phone

(718) 541-8931

NPI assigned

Jul 5, 2010

Last updated

Jul 5, 2010By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1278288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278288000000",
    "number": "1528370780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "356 STUYVESANT AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112331028",
            "telephone_number": "718-541-8931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "356 STUYVESANT AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112331028",
            "telephone_number": "718-541-8931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUOBADIA",
        "first_name": "JAMES",
        "middle_name": "EVBANVBAN",
        "name_prefix": "Dr.",
        "credential": "M. SC, OTD, OTR/L",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-07-05",
        "last_updated": "2010-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0019X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": "NY",
            "license": "004895-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jixuan Guo
• Qiao Guo, DDS
• Songchuan Guo, M.D.
• Wei Guo, PT
• Yujun Guo
• Marie Guobadia, MD
• Gupta Gastro Associate Office Based Surgery, P.C.
• Anju Gupta-Modak, MD
• Akriti Gupta, D.M.D.
• Anu Gupta, M.D.

• Physical Rehabilitation Occupational Therapist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Physical Rehabilitation Occupational Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2010; 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.