Active NPI
Ema Avezova
- Occupational Therapist
- Rego Park, NY
National Provider Identifier
1588027221
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 019688
- Practice address
- 6393 Woodhaven Blvd
Apt#4C
Rego Park, NY 11374-4843 - Phone
- (917) 693-8465
- NPI assigned
- Mar 31, 2016
- 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 | 019688 | NY | Primary |
Addresses
Primary practice location
6393 Woodhaven Blvd
Apt#4C
Rego Park, NY 11374-4843
Mailing address
6393 Woodhaven Blvd
Apt#4C
Rego Park, NY 11374-4843
Phone (917) 693-8465
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 019688 | NY | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1459382400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1634515200000",
"number": "1588027221",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6393 WOODHAVEN BLVD",
"address_2": "APT#4C",
"city": "REGO PARK",
"state": "NY",
"postal_code": "113744843",
"telephone_number": "917-693-8465"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6393 WOODHAVEN BLVD",
"address_2": "APT#4C",
"city": "REGO PARK",
"state": "NY",
"postal_code": "113744843",
"telephone_number": "917-693-8465"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AVEZOVA",
"first_name": "EMA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-03-31",
"last_updated": "2021-10-18",
"certification_date": "2021-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "019688",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rego Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.