Individual provider Active NPI

Aenid Marie Mercado Yu, OTR/L

  • Occupational Therapist
  • Fresh Meadows, NY
National Provider Identifier
1730410788
Registry record updated Mar 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
015020 Issued in NY
Practice address
6700 192ND St Apt 2004
Fresh Meadows, NY 11365-3740
Phone
(917) 794-5777
NPI assigned
Jan 14, 2010
Last updated
Mar 25, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 25, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 10376 CA
Occupational Therapist 225X00000X 015020 NY Primary

Addresses

Primary practice location

6700 192ND St Apt 2004
Fresh Meadows, NY 11365-3740

Mailing address

6700 192ND St Apt 2004
Fresh Meadows, NY 11365-3740
Phone (917) 794-5777

Other names 1

  • Ms. Aenid Marie Ortega Mercado Former name

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

State licenses

LicenseStateTypeSpecialty
015020NYMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1263427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395705600000",
    "number": "1730410788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6700 192ND ST APT 2004",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113653740",
            "telephone_number": "917-794-5777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6700 192ND ST APT 2004",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113653740",
            "telephone_number": "917-794-5777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YU",
        "first_name": "AENID MARIE",
        "middle_name": "MERCADO",
        "name_prefix": "Ms.",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-01-14",
        "last_updated": "2014-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "10376",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "015020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AENID MARIE",
            "last_name": "MERCADO",
            "middle_name": "ORTEGA",
            "prefix": "MS.",
            "credential": "OTR/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fresh Meadows, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2014; 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.