Individual provider Active NPI

Ilana Beth Dubin, MS OTR/L

  • Occupational Therapist
  • South Ozone Park, NY
National Provider Identifier
1932475738
Registry record updated Mar 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
015873 Issued in NY
Practice address
12915 150TH Ave
South Ozone Park, NY 11420-4211
Phone
(718) 529-2580
NPI assigned
Mar 26, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 26, 2012

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 015873 NY Primary

Addresses

Primary practice location

12915 150TH Ave
South Ozone Park, NY 11420-4211

Mailing address

1 Club Dr Apt 3Ar
Woodmere, NY 11598-2011
Phone (516) 698-9855

Other names 1

  • Ilana Berkowitz Other name

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
Credentials
Master of Science

NPI Registry JSON

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

{
    "created_epoch": "1332720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332720000000",
    "number": "1932475738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CLUB DR APT 3AR",
            "city": "WOODMERE",
            "state": "NY",
            "postal_code": "115982011",
            "telephone_number": "516-698-9855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12915 150TH AVE",
            "city": "SOUTH OZONE PARK",
            "state": "NY",
            "postal_code": "114204211",
            "telephone_number": "718-529-2580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUBIN",
        "first_name": "ILANA",
        "middle_name": "BETH",
        "credential": "MS OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-26",
        "last_updated": "2012-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "015873",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ILANA",
            "last_name": "BERKOWITZ",
            "credential": "MS OTR/L",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in South Ozone Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 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.

Verify at the official NPI Registry.