Individual provider Active NPI

Farah Quettant-Vergin, OTR

  • Occupational Therapist
  • Rosedale, NY
National Provider Identifier
1861792087
Registry record updated Aug 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Practice address
24024 Memphis Ave
Rosedale, NY 11422-2017
Phone
(347) 564-9050
NPI assigned
Oct 22, 2010
Last updated
Aug 21, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 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 NU Primary

Addresses

Primary practice location

24024 Memphis Ave
Rosedale, NY 11422-2017

Mailing address

24024 Memphis Ave
Rosedale, NY 11422-2017
Phone (347) 564-9050

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130920000386 NY Practitioner - Occupational Therapist in Private Practice 3476797036 Reassigns benefits to 5 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
018107NYMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Essential OT, PT, SLP & Psychology Services, PLLC CurrentSince Feb 22, 2020 Accepting new patients
Superior Clinical Care PLLC CurrentSince Jul 25, 2022 Accepting new patients
Complete SLP, OT, PT & Psychology Services, PLLC CurrentSince Aug 1, 2020 Accepting new patients
Priority One Therapy PT OT SLP PLLC CurrentSince May 1, 2013 Accepting new patients
MHH Psychology and Speech-Language Pathology Therapy Services PLLC CurrentSince Oct 1, 2018 Accepting new patients
Essential Therapy Services of NJ Occupational Therapist PastSince Aug 1, 2021 Accepting new patients

Locations

7120 110th St
Forest Hills, NY 11375
Phone (718) 305-1190

99 W Hawthorne Ave
Ste 210
Valley Stream, NY 11580
Phone (718) 305-1190

Organizations & group practices 7

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": "1287705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377043200000",
    "number": "1861792087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24024 MEMPHIS AVE",
            "city": "ROSEDALE",
            "state": "NY",
            "postal_code": "114222017",
            "telephone_number": "347-564-9050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24024 MEMPHIS AVE",
            "city": "ROSEDALE",
            "state": "NY",
            "postal_code": "114222017",
            "telephone_number": "347-564-9050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUETTANT-VERGIN",
        "first_name": "FARAH",
        "name_prefix": "Ms.",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-22",
        "last_updated": "2013-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rosedale, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.