M.R.J OT Contract Service PC

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

License

013637 Issued in NY

Legal business name

M.R.J OT CONTRACT SERVICE PC

Practice address

8815 146TH St
Jamaica, NY 11435-3634

Phone

(917) 517-4421

NPI assigned

Jan 17, 2016

Organization subpart

Yes

Parent organization

-M.R.J OT CONTRACT SERVICE PCAs reported in NPPES

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

Authorized official

Name

Margaret Haacker, OTR

Title

Occupational Therapist

Phone

(917) 517-4421

Specialties & licenses 1

Addresses

Other identifiers 1

Part of

MRJ OT Contract Service PC

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

{
    "created_epoch": "1452988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452988800000",
    "number": "1538526868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 690798",
            "city": "EAST ELMHURST",
            "state": "NY",
            "postal_code": "113690798",
            "telephone_number": "917-517-4421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8815 146TH ST",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114353634",
            "telephone_number": "917-517-4421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M.R.J OT CONTRACT SERVICE PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "-M.R.J OT CONTRACT SERVICE PC",
        "enumeration_date": "2016-01-17",
        "last_updated": "2016-01-17",
        "status": "A",
        "authorized_official_last_name": "HAACKER",
        "authorized_official_first_name": "MARGARET",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "917-517-4421",
        "authorized_official_credential": "OTR"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": "013637",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1144541467",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Early Intervention Provider Agency in Jamaica, NY
• Providers in Jamaica, NY by specialty
• Early Intervention Provider Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 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.