Individual provider Active NPI

Nataliya Vinokur, M.S/B.S IN OT

  • Specialist
  • Staten Island, NY
National Provider Identifier
1649500992
Registry record updated Jan 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
015286-1 Issued in NY
Practice address
25 Bay Ter
14 B
Staten Island, NY 10306-3637
Phone
(917) 318-4798
NPI assigned
Jan 9, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 9, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 015286-1 NY Primary

Addresses

Primary practice location

25 Bay Ter
14 B
Staten Island, NY 10306-3637

Mailing address

25 Bay Ter
14 B
Staten Island, NY 10306-3637
Phone (917) 318-4798

Other identifiers 1

IdentifierTypeStateIssuer
931993407OtherNYGHI

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
Bachelor of Science, Master of Science

State licenses

LicenseStateTypeSpecialty
015286-1NYMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1262995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262995200000",
    "number": "1649500992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 BAY TER",
            "address_2": "14 B",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103063637",
            "telephone_number": "917-318-4798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 BAY TER",
            "address_2": "14 B",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103063637",
            "telephone_number": "917-318-4798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VINOKUR",
        "first_name": "NATALIYA",
        "credential": "M.S/B.S IN OT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-01-09",
        "last_updated": "2010-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "015286-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "931993407",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 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.