Individual provider Active NPI

Talia Mouldovan, OTRL, MS

  • Occupational Therapist
  • New York, NY
National Provider Identifier
1619281284
Registry record updated Aug 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
016209 Issued in NY
Practice address
180 W End Ave Apt 1M
New York, NY 10023-4917
Phone
(212) 600-4781
Fax
(800) 655-3780
NPI assigned
Aug 5, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 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 016209 NY Primary

Addresses

Primary practice location

180 W End Ave Apt 1M
New York, NY 10023-4917

Mailing address

180 W End Ave Apt 1M
New York, NY 10023-4917
Phone (212) 600-4781

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
016209NYMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1280966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280966400000",
    "number": "1619281284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 W END AVE APT 1M",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100234917",
            "telephone_number": "212-600-4781",
            "fax_number": "800-655-3780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 W END AVE APT 1M",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100234917",
            "telephone_number": "212-600-4781",
            "fax_number": "800-655-3780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOULDOVAN",
        "first_name": "TALIA",
        "credential": "OTRL, MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-05",
        "last_updated": "2010-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "016209",
            "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 Aug 5, 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.