Individual provider Active NPI

Maureen A Chin, OTR/L

  • Occupational Therapist
  • New Hyde Park, NY
National Provider Identifier
1740556141
Registry record updated Jan 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
003582-1 Issued in NY
Practice address
92 Kenneth PL
New Hyde Park, NY 11040-3123
Phone
(516) 589-4316
NPI assigned
Mar 29, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 13, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 003582-1 NY Primary

Addresses

Primary practice location

92 Kenneth PL
New Hyde Park, NY 11040-3123

Mailing address

92 Kenneth PL
New Hyde Park, NY 11040-3123
Phone (516) 589-4316

Other practice location 1

10936 204th St
Saint Albans, NY 11412-1326
Phone (718) 465-8310

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

LicenseStateTypeSpecialty
003582-1NYMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1332979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547337600000",
    "number": "1740556141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "92 KENNETH PL",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110403123",
            "telephone_number": "516-589-4316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "92 KENNETH PL",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110403123",
            "telephone_number": "516-589-4316"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10936 204th St",
            "address_purpose": "LOCATION",
            "city": "Saint Albans",
            "state": "NY",
            "postal_code": "114121326",
            "country_code": "US",
            "telephone_number": "718-465-8310",
            "fax_number": "718-465-3939",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHIN",
        "first_name": "MAUREEN",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-29",
        "last_updated": "2019-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "003582-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Hyde Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 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.

Verify at the official NPI Registry.