Individual provider Active NPI

Olena Doroshenko

  • Occupational Therapy Assistant
  • Brooklyn, NY
National Provider Identifier
1548638620
Registry record updated Sep 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
P96342 Issued in NY
Practice address
2301 Benson Ave
A21
Brooklyn, NY 11214-4249
Phone
(718) 964-3822
NPI assigned
Sep 8, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X P96342 NY Primary

Addresses

Primary practice location

2301 Benson Ave
A21
Brooklyn, NY 11214-4249

Mailing address

2301 Benson Ave Apt A21
Brooklyn, NY 11214-4266
Phone (718) 964-3822

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

LicenseStateTypeSpecialty
P96342NYMDOccupational Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1441670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441670400000",
    "number": "1548638620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 BENSON AVE APT A21",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112144266",
            "telephone_number": "718-964-3822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 BENSON AVE",
            "address_2": "A21",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112144249",
            "telephone_number": "718-964-3822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOROSHENKO",
        "first_name": "OLENA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-08",
        "last_updated": "2015-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "NY",
            "license": "P96342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 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.