Andrea Kathryn Doumar, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

022645 Issued in NY

Practice address

962 Manor Rd
Staten Island, NY 10314

Phone

(718) 982-5944

NPI assigned

Aug 27, 2018

Last updated

Aug 27, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1535328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535328000000",
    "number": "1568943736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 HILLSIDE DR",
            "city": "TOTOWA",
            "state": "NJ",
            "postal_code": "075121905",
            "telephone_number": "973-570-2990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "962 MANOR RD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "10314",
            "telephone_number": "718-982-5944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUMAR",
        "first_name": "ANDREA",
        "middle_name": "KATHRYN",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-27",
        "last_updated": "2018-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "022645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meghan Dougherty, RN
• Douglas E Menikheim MD Jeffrey S Kalman MD & C Yiachos MD PC (Staten Island Gastronenterology)
• Jade Douglas
• Melanie Douglas, PA-C
• Patricia Douglas, MS
• Jennifer Dove, RN
• Matthew Lawrence Dove, LMSW
• Annemarie Dowling-Castronovo, PHD, RN, GNP-BC
• Marie-Elena Dowling
• Colleen Downes, L.C.S.W.

• Occupational Therapist in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Occupational Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2018; 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.