Elliot Engelhardt O.T., P.C.

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

License

015085 Issued in NY

Legal business name

ELLIOT ENGELHARDT O.T., P.C.

Practice address

8229 Surrey PL
Jamaica, NY 11432-1436

Phone

(917) 750-9101

NPI assigned

Jun 26, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Elliot S. Engelhardt, MS, OTR/L, CME I

Title

Owner

Phone

(917) 750-9101

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1435276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435276800000",
    "number": "1528440484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8229 SURREY PL",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114321436",
            "telephone_number": "917-750-9101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8229 SURREY PL",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114321436",
            "telephone_number": "917-750-9101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLIOT ENGELHARDT O.T., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-26",
        "last_updated": "2015-06-26",
        "status": "A",
        "authorized_official_last_name": "ENGELHARDT",
        "authorized_official_first_name": "ELLIOT",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-750-9101",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MS, OTR/L, CME I"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": "015085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2015; 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.