Active NPI
Tawdros Gezaw
- Occupational Therapy Assistant
- West Hempstead, NY
National Provider Identifier
1619101458
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 006952
- Practice address
- 511 Hempstead Ave
West Hempstead, NY 11552-2737 - Phone
- (515) 565-0388
- NPI assigned
- May 7, 2009
- 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 Therapy Assistant | 224Z00000X | 006952 | NY | Primary |
Addresses
Primary practice location
511 Hempstead Ave
West Hempstead, NY 11552-2737
Mailing address
511 Hempstead Ave
West Hempstead, NY 11552-2737
Phone (516) 565-0388
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 |
|---|---|---|---|
| 006952 | NY | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1241654400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1343001600000",
"number": "1619101458",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "511 HEMPSTEAD AVE",
"city": "WEST HEMPSTEAD",
"state": "NY",
"postal_code": "115522737",
"telephone_number": "516-565-0388"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "511 HEMPSTEAD AVE",
"city": "WEST HEMPSTEAD",
"state": "NY",
"postal_code": "115522737",
"telephone_number": "515-565-0388"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GEZAW",
"first_name": "TAWDROS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-05-07",
"last_updated": "2012-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "NY",
"license": "006952",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Hempstead, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.