Individual provider Active NPI

Marion Pinunggan

  • Occupational Therapist
  • New York, NY
National Provider Identifier
1598077794
Registry record updated Jul 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
015278 Issued in NY
Practice address
131 W 135TH St
Lenox Rehabilitation
New York, NY 10030
Phone
(212) 281-8678
Fax
(212) 281-8677
NPI assigned
Jul 6, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 6, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 015278 NY Primary

Addresses

Primary practice location

131 W 135TH St
Lenox Rehabilitation
New York, NY 10030

Mailing address

131 W 135TH St
Lenox Rehabilitation
New York, NY 10030
Phone (212) 281-8678

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
015278NYMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1278374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278374400000",
    "number": "1598077794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 W 135TH ST",
            "address_2": "LENOX REHABILITATION",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10030",
            "telephone_number": "212-281-8678",
            "fax_number": "212-281-8677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 W 135TH ST",
            "address_2": "LENOX REHABILITATION",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10030",
            "telephone_number": "212-281-8678",
            "fax_number": "212-281-8677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PINUNGGAN",
        "first_name": "MARION",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-06",
        "last_updated": "2010-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "015278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2010; 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.