Nina Derek, OTR/L

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

016152-1 Issued in NY

Practice address

306 Community Dr
Apt # 1J
Manhasset, NY 11030-3838

Phone

(516) 570-0152

NPI assigned

May 10, 2010

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1273449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1273449600000",
    "number": "1871811299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 COMMUNITY DR APT 1J",
            "city": "MANHASSET",
            "state": "NY",
            "postal_code": "110303840",
            "telephone_number": "516-570-0152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 COMMUNITY DR",
            "address_2": "APT # 1J",
            "city": "MANHASSET",
            "state": "NY",
            "postal_code": "110303838",
            "telephone_number": "516-570-0152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEREK",
        "first_name": "NINA",
        "name_prefix": "Miss",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-05-10",
        "last_updated": "2010-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NY",
            "license": "016152-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristen Hope Demertzis, PH.D.
• Naomi-Liza Denning
• George Denoto, M.D.
• Dental Care of Manhasset, P.C.
• John Michael Depietro, NP
• Anish Yogesh Desai, MD
• Anthony Destefano, AGACNP
• Richard Destefano
• Melissa Detommaso, PA
• John Robert Devins, N.P.

• Pediatric Occupational Therapist in Manhasset, NY
• Providers in Manhasset, NY by specialty
• Pediatric Occupational Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2010; 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.