Active NPI
Monroe Peterson
- Occupational Therapist
- Brooklyn, NY
National Provider Identifier
1740652452
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 019933
- Practice address
- 498 Van Buren St
Brooklyn, NY 11221-3010 - Phone
- (206) 999-6162
- NPI assigned
- Oct 21, 2015
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 019933 | NY | Primary |
Addresses
Primary practice location
498 Van Buren St
Brooklyn, NY 11221-3010
Mailing address
PO Box 210370
Brooklyn, NY 11221-0370
Phone (206) 999-6162
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1445385600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1445385600000",
"number": "1740652452",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 210370",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112210370",
"telephone_number": "206-999-6162"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "498 VAN BUREN ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112213010",
"telephone_number": "206-999-6162"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETERSON",
"first_name": "MONROE",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-10-21",
"last_updated": "2015-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "019933",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.