Jennifer Tuberdyck

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Practice address

960 West Maple Court
Elma, NY 14059

Phone

(716) 805-1555

NPI assigned

Jul 11, 2012

Last updated

Sep 30, 2015By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Suburban Adult Services Inc.Group PAC ID 1658378583, 14 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Suburban Adult Services-Inc.

  • Developmentally Disabled Services Day Training Agency
  • Elma, NY
  • NPI 1528081734
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1341964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443571200000",
    "number": "1851656128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 BROWN ST",
            "city": "CHEEKTOWAGA",
            "state": "NY",
            "postal_code": "140599321",
            "telephone_number": "716-863-5974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "960 WEST MAPLE COURT",
            "city": "ELMA",
            "state": "NY",
            "postal_code": "14059",
            "telephone_number": "716-805-1555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUBERDYCK",
        "first_name": "JENNIFER",
        "name_prefix": "Miss",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-11",
        "last_updated": "2015-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Carol Syracuse, MA,CCC,SLP
• Ryann Illig Taylor, MS, APRN
• Thomas F. Hughes MD PC
• Nicole Tobias
• Helen Marie Tomasik, OT
• Joan Ann Vivona, MD
• Kiersten Voccola
• Walgreen Co (Moog In Health Pharmacy)
• Kimberly Nicole Walker
• Brandy A Weber, LCSW

• Occupational Therapist in Elma, NY
• Providers in Elma, NY by specialty
• Occupational Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2015; 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.