Active NPI
Helga M Medican, O.T.R. L
- Occupational Therapist
- Monticello, NY
National Provider Identifier
1548337264
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 003895-1
- Practice address
- 162 E Broadway
Monticello, NY 12701-8815 - Phone
- (845) 796-1350
- Fax
- (845) 796-1647
- NPI assigned
- Nov 29, 2006
- Sex
- Female
- Sole proprietor
- No
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 | 003895-1 | NY | Primary |
Addresses
Primary practice location
162 E Broadway
Monticello, NY 12701-8815
Mailing address
46 Sugarloaf Mountain Rd
Chester, NY 10918-2425
Phone (845) 469-2728
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 87761 | Other | NY | GHI |
| Q90121 | Other | NY | EMPIREBLUECROSSBLUESHIELD |
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 |
|---|---|---|---|
| 003895-1 | NY | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164758400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1213660800000",
"number": "1548337264",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "46 SUGARLOAF MOUNTAIN RD",
"city": "CHESTER",
"state": "NY",
"postal_code": "109182425",
"telephone_number": "845-469-2728"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "162 E BROADWAY",
"city": "MONTICELLO",
"state": "NY",
"postal_code": "127018815",
"telephone_number": "845-796-1350",
"fax_number": "845-796-1647"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEDICAN",
"first_name": "HELGA",
"middle_name": "M",
"credential": "O.T.R. L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-29",
"last_updated": "2008-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "003895-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "87761",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPIREBLUECROSSBLUESHIELD",
"identifier": "Q90121",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Monticello, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.