Active NPI
Cindy Yan, M.S. O.T.R./L
- Pediatric Occupational Therapist
- Bronx, NY
National Provider Identifier
1669643888
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- 63-011579-1
- Practice address
- 750 Jennings St
Bronx, NY 10459-1204 - Phone
- (718) 237-6088
- NPI assigned
- Mar 14, 2008
- Last updated
- Oct 9, 2012
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | 63-011579-1 | NY | Primary |
Addresses
Primary practice location
750 Jennings St
Bronx, NY 10459-1204
Mailing address
PO Box 742
New York, NY 10039-0721
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
| License | State | Type | Specialty |
|---|---|---|---|
| 011579 | NY | MD | Clinical Child & Adolescent Psychologist |
| 63-011579-1 | NY | MD | Pediatric Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205452800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1349740800000",
"number": "1669643888",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 742",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100390721"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "750 JENNINGS ST",
"city": "BRONX",
"state": "NY",
"postal_code": "104591204",
"telephone_number": "718-237-6088"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YAN",
"first_name": "CINDY",
"credential": "M.S. O.T.R./L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-03-14",
"last_updated": "2012-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "NY",
"license": "63-011579-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 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.