Individual provider Active NPI

Tova Stulberger

  • Occupational Therapist
  • Flushing, NY
National Provider Identifier
1790117067
Registry record updated Aug 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
63 018156 Issued in NY
Practice address
14905 79TH Ave Apt 514
Flushing, NY 11367-3874
Phone
(414) 841-8902
NPI assigned
Aug 8, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 8, 2013

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 63 018156 NY Primary

Addresses

Primary practice location

14905 79TH Ave Apt 514
Flushing, NY 11367-3874

Mailing address

14905 79TH Ave Apt 514
Flushing, NY 11367-3874
Phone (414) 841-8902

Other names 1

  • Tova Shapiro 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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
63 018156NYMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1375920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375920000000",
    "number": "1790117067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14905 79TH AVE APT 514",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113673874",
            "telephone_number": "414-841-8902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14905 79TH AVE APT 514",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113673874",
            "telephone_number": "414-841-8902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STULBERGER",
        "first_name": "TOVA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-08",
        "last_updated": "2013-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "63 018156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TOVA",
            "last_name": "SHAPIRO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Flushing, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2013; 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.