Individual provider Active NPI

Irene Zombek, M.S. OTR/L

  • Pediatric Occupational Therapist
  • Holbrook, NY
National Provider Identifier
1841523198
Registry record updated Oct 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
006930-1
Practice address
5000A Expressway Dr S
Holbrook, NY 11741-1827
Phone
(646) 436-6535
NPI assigned
Sep 17, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurorehabilitation Occupational Therapist 225XN1300X 006930-1 NY
Pediatric Occupational Therapist 225XP0200X 006930-1 Primary

Addresses

Primary practice location

5000A Expressway Dr S
Holbrook, NY 11741-1827

Mailing address

5000A Expressway Dr S
Holbrook, NY 11741-1827
Phone (646) 436-6535

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
006930-1NYMDNeurorehabilitation Occupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1253145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254355200000",
    "number": "1841523198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000A EXPRESSWAY DR S",
            "city": "HOLBROOK",
            "state": "NY",
            "postal_code": "117411827",
            "telephone_number": "646-436-6535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000A EXPRESSWAY DR S",
            "city": "HOLBROOK",
            "state": "NY",
            "postal_code": "117411827",
            "telephone_number": "646-436-6535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZOMBEK",
        "first_name": "IRENE",
        "name_prefix": "Ms.",
        "credential": "M.S. OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-17",
        "last_updated": "2009-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XN1300X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Neurorehabilitation",
            "state": "NY",
            "license": "006930-1",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": null,
            "license": "006930-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holbrook, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2009; 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.