Individual provider Active NPI

Stanislav Naymark, OTR/L

  • Occupational Therapist
  • Brooklyn, NY
National Provider Identifier
1871898387
Registry record updated Jan 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
016515-1 Issued in NY
Practice address
2300 Ocean Ave Apt 6J
Brooklyn, NY 11229-3017
Phone
(917) 945-1876
NPI assigned
Jan 13, 2011
Last updated
Jan 14, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 14, 2022

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 016515-1 NY Primary

Addresses

Primary practice location

2300 Ocean Ave Apt 6J
Brooklyn, NY 11229-3017

Mailing address

2300 Ocean Ave Apt 6J
Brooklyn, NY 11229-3017

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200624003074 NY Practitioner - Occupational Therapist in Private Practice 7012339831 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
016515-1NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Adapt Medical Professional Services CurrentSince Aug 14, 2025 Accepting new patients
Prokinetics Physical Therapy P.C. CurrentSince Jul 5, 2023 Accepting new patients

Locations

174 Bay 29th St
Ste C1
Brooklyn, NY 11214
Phone (646) 750-4455

80 Maiden Ln
Fl 8
New York, NY 10038
Phone (347) 971-2368

Organizations & group practices 2

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": "1294876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642118400000",
    "number": "1871898387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 OCEAN AVE APT 6J",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112293017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 OCEAN AVE APT 6J",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112293017",
            "telephone_number": "917-945-1876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAYMARK",
        "first_name": "STANISLAV",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-01-13",
        "last_updated": "2022-01-14",
        "certification_date": "2022-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "016515-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2022; 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.