Active NPI
Jasmin Ivette Gonzalez, OTR/L
- Occupational Therapist
- Middle Village, NY
National Provider Identifier
1699059170
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 023556-1
- Practice address
- 6308 69TH PL
Middle Village, NY 11379-1726 - Phone
- (718) 381-7777
- NPI assigned
- Oct 3, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 008002-1 | NY | |
| Occupational Therapist | 225X00000X | 023556-1 | NY | Primary |
Addresses
Primary practice location
6308 69TH PL
Middle Village, NY 11379-1726
Mailing address
360 Snediker Ave
Apt. 3D
Brooklyn, NY 11207-4552
Phone (917) 207-4515
Other practice location 1
350 E 146th St
Bronx, NY 10451-5702
Phone (718) 585-4494
Other names 1
- Jasmin Ivette Roman
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 |
|---|---|---|---|
| 008002-1 | NY | MD | Occupational Therapy Assistant |
| 023556-1 | NY | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Books & Rattles, Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Early Intervention Provider Agency
- Elmhurst, NY
- NPI 1679398853
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1317600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1557619200000",
"number": "1699059170",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "360 SNEDIKER AVE",
"address_2": "APT. 3D",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112074552",
"telephone_number": "917-207-4515"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6308 69TH PL",
"city": "MIDDLE VILLAGE",
"state": "NY",
"postal_code": "113791726",
"telephone_number": "718-381-7777"
}
],
"practiceLocations": [
{
"address_1": "350 E 146th St",
"address_purpose": "LOCATION",
"city": "Bronx",
"state": "NY",
"postal_code": "104515702",
"country_code": "US",
"telephone_number": "718-585-4494",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GONZALEZ",
"first_name": "JASMIN",
"middle_name": "IVETTE",
"name_prefix": "Ms.",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-10-03",
"last_updated": "2019-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "NY",
"license": "008002-1",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "023556-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JASMIN",
"last_name": "ROMAN",
"middle_name": "IVETTE",
"credential": "OTR/L",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Middle Village, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.