Active NPI
James Joseph Mruk, MS, OTR/L
- Occupational Therapist
- Warsaw, NY
National Provider Identifier
1609951219
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 010105
- Practice address
- Wyoming County Community Hospital
400 North Main St.
Warsaw, NY 14569 - Phone
- (585) 749-5735
- NPI assigned
- Oct 25, 2006
- 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 | 010105 | NY | Primary |
Addresses
Primary practice location
Wyoming County Community Hospital
400 North Main St.
Warsaw, NY 14569
Mailing address
731 Gabbey Rd
Corfu, NY 14036-9712
Phone (585) 542-3986
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 010105 | NY | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1609951219",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "731 GABBEY RD",
"city": "CORFU",
"state": "NY",
"postal_code": "140369712",
"telephone_number": "585-542-3986"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "WYOMING COUNTY COMMUNITY HOSPITAL",
"address_2": "400 NORTH MAIN ST.",
"city": "WARSAW",
"state": "NY",
"postal_code": "14569",
"telephone_number": "585-749-5735"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MRUK",
"first_name": "JAMES",
"middle_name": "JOSEPH",
"name_prefix": "Mr.",
"credential": "MS, OTR/L",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "010105",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Warsaw, 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.