Wonder Infants & Toddlers Otpc

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

Legal business name

WONDER INFANTS & TODDLERS OTPC

Practice address

23308 41St Ave
Douglaston, NY 11363-1522

Phone

(718) 309-8685

NPI assigned

Oct 21, 2019

Last updated

Oct 21, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Juliana W Mah, MA OTR/LNPI 1588813638

Title

President

Phone

(718) 309-8685

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Juliana W. Mah, MA OTR/L

  • Pediatric Occupational Therapist
  • Douglaston, NY
  • NPI 1588813638

  Pediatrics

  NPD Authorized official

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

{
    "created_epoch": "1571616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571616000000",
    "number": "1568005767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23308 41ST AVE",
            "city": "DOUGLASTON",
            "state": "NY",
            "postal_code": "113631522",
            "telephone_number": "718-309-8685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23308 41ST AVE",
            "city": "DOUGLASTON",
            "state": "NY",
            "postal_code": "113631522",
            "telephone_number": "718-309-8685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WONDER INFANTS & TODDLERS OTPC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-21",
        "last_updated": "2019-10-21",
        "status": "A",
        "authorized_official_last_name": "MAH",
        "authorized_official_first_name": "JULIANA",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-309-8685",
        "authorized_official_credential": "MA OTR/L"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jipeng Wang
• Erica Weiss, M.A., CCC-SLP
• Fiona Williams, FNP-BC
• Raymond E. Williams, MSW
• Madelyn Sue Wolfin, LMSW
• Kinming Lawrence Wong
• Yasemin Osman MD PLLC (Douglaston Dermatology)
• Priscilla Yung, RN
• Etella Zak, LCSW
• Selena Zhang

• Pediatric Occupational Therapist in Douglaston, NY
• Providers in Douglaston, NY by specialty
• Pediatric Occupational Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2019; 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.