Brooklyn Occupational Therapy PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

009500 Issued in NY

Legal business name

BROOKLYN OCCUPATIONAL THERAPY PC

Practice address

2752 Ocean Ave
Brooklyn, NY 11229-4706

Phone

(718) 769-9001

NPI assigned

Sep 21, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Victor Genkin, O.T.

Title

Occupational Therapy

Phone

(718) 769-9001

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1253491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253491200000",
    "number": "1720312960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2752 OCEAN AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112294706",
            "telephone_number": "718-769-9001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2752 OCEAN AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112294706",
            "telephone_number": "718-769-9001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKLYN OCCUPATIONAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-21",
        "last_updated": "2009-09-21",
        "status": "A",
        "authorized_official_last_name": "GENKIN",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPY",
        "authorized_official_telephone_number": "718-769-9001",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "O.T."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "009500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NO.",
            "identifier": "009500",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2009; 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.