Active NPI
Mark Lesser
- Occupational Therapist
- Middle Village, NY
National Provider Identifier
1891066791
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 007465
- Practice address
- 6127 63Rd St
Middle Village, NY 11379-1020 - Phone
- (718) 615-0049
- NPI assigned
- Jan 24, 2012
- Last updated
- Jan 24, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 007465 | NY | Primary |
Addresses
Primary practice location
6127 63Rd St
Middle Village, NY 11379-1020
Mailing address
PO Box 300691
Jamaica, NY 11430-0691
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 007465 | NY | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1327363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1327363200000",
"number": "1891066791",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 300691",
"city": "JAMAICA",
"state": "NY",
"postal_code": "114300691"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6127 63RD ST",
"city": "MIDDLE VILLAGE",
"state": "NY",
"postal_code": "113791020",
"telephone_number": "718-615-0049"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LESSER",
"first_name": "MARK",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-01-24",
"last_updated": "2012-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "007465",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Middle Village, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.