Individual provider Active NPI

Daniella E Fireman, OTRL

  • Occupational Therapist
  • Long Beach, NY
National Provider Identifier
1750856928
Registry record updated Jul 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
021130 Issued in NY
Practice address
274 W Broadway
Long Beach, NY 11561-3911
Phone
(516) 897-0140
NPI assigned
Oct 3, 2018
Last updated
Jul 14, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2020

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 021130 NY Primary

Addresses

Primary practice location

274 W Broadway
Long Beach, NY 11561-3911

Mailing address

240 Central Ave Apt 3K
Lawrence, NY 11559-1561
Phone (516) 382-6545

Other names 1

  • Daniella Newman Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181119003245 NY Practitioner - Occupational Therapist in Private Practice 1052665502 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ats Rehab OT and PT and SLP PLLCGroup PAC ID 2567734452, 39 clinicians
Agu OT PCGroup PAC ID 2365917960, 9 clinicians

Practice addresses (Care Compare)

274 W Broadway
Long Beach, NY 11561-3911
Phone (718) 809-4370

820 Front St
Hempstead, NY 11550-4627
Phone (732) 399-9700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
My Medical PC CurrentSince Jan 1, 2022 Accepting new patients
Ats Rehab OT & PT & SLP PLLC Occupational Therapist CurrentSince Aug 1, 2018 Accepting new patients
Peyman Younesi MD PLLC CurrentSince May 1, 2022 Accepting new patients

Locations

1105 E County Line Rd
Ste 213
Lakewood, NJ 08701

3438 Bell Blvd
Ste 301
Bayside, NY 11361

6355 Broadway
Bronx, NY 10471
Phone (718) 549-3300

2830 Pitkin Ave
Brooklyn, NY 11208
Phone (347) 420-8295

8008 45th Ave
Flushing, NY 11373
Phone (718) 373-0777

274 W Broadway
Long Beach, NY 11561
Phone (516) 431-1400

11502 Ocean Promenade
Rockaway Park, NY 11694
Phone (718) 627-8700

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1538524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594684800000",
    "number": "1750856928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 CENTRAL AVE APT 3K",
            "city": "LAWRENCE",
            "state": "NY",
            "postal_code": "115591561",
            "telephone_number": "516-382-6545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "274 W BROADWAY",
            "city": "LONG BEACH",
            "state": "NY",
            "postal_code": "115613911",
            "telephone_number": "516-897-0140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIREMAN",
        "first_name": "DANIELLA",
        "middle_name": "E",
        "name_prefix": "Mrs.",
        "credential": "OTRL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-03",
        "last_updated": "2020-07-14",
        "certification_date": "2020-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "021130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DANIELLA",
            "last_name": "NEWMAN",
            "credential": "OTRL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Long Beach, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.