Active NPI
Leslie Yenil Fernandez, OTR/L
- Occupational Therapist
- Richmond Hill, NY
National Provider Identifier
1790329241
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 024041
- Practice address
- 10508 Jamaica Ave
Richmond Hill, NY 11418-2013 - Phone
- (917) 299-2635
- NPI assigned
- Oct 28, 2019
- 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 | 024041 | NY | Primary |
Addresses
Primary practice location
10508 Jamaica Ave
Richmond Hill, NY 11418-2013
Mailing address
542 Kosciuszko St Apt 2R
Brooklyn, NY 11221-2392
Phone (631) 704-7772
Other practice location 1
2118 Coney Island Ave
Brooklyn, NY 11223-2347
Phone (917) 299-2635
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": "1572220800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1572220800000",
"number": "1790329241",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "542 KOSCIUSZKO ST APT 2R",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112212392",
"telephone_number": "631-704-7772"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10508 JAMAICA AVE",
"city": "RICHMOND HILL",
"state": "NY",
"postal_code": "114182013",
"telephone_number": "917-299-2635"
}
],
"practiceLocations": [
{
"address_1": "2118 Coney Island Ave",
"address_purpose": "LOCATION",
"city": "Brooklyn",
"state": "NY",
"postal_code": "112232347",
"country_code": "US",
"telephone_number": "917-299-2635",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FERNANDEZ",
"first_name": "LESLIE",
"middle_name": "YENIL",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-10-28",
"last_updated": "2019-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "024041",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Richmond Hill, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 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.