Active NPI
Matthew Cameron, MSOT,R,L
- Occupational Therapist
- Brooklyn, NY
National Provider Identifier
1598972192
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 014164
- Practice address
- 121 Dekalb Ave
Brooklyn, NY 11201-5425 - Phone
- (718) 250-8143
- Fax
- (718) 250-8257
- NPI assigned
- May 16, 2007
- Sex
- Male
- 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 | 014164 | NY | Primary |
Addresses
Primary practice location
121 Dekalb Ave
Brooklyn, NY 11201-5425
Mailing address
364 W 51St St
Apt. 4W
New York, NY 10019-6415
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 |
|---|---|---|---|
| 014164 | NY | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1598972192",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "364 W 51ST ST",
"address_2": "APT. 4W",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100196415"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "121 DEKALB AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112015425",
"telephone_number": "718-250-8143",
"fax_number": "718-250-8257"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMERON",
"first_name": "MATTHEW",
"name_prefix": "Mr.",
"credential": "MSOT,R,L",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "014164",
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.