Active NPI
Drew Pare
- Pediatric Occupational Therapist
- Brooklyn, NY
National Provider Identifier
1932643616
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- 025803
- Practice address
- 183 31St St Apt 1
Brooklyn, NY 11232-1802 - Phone
- (717) 538-2494
- NPI assigned
- Dec 14, 2016
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 009167 | NY | |
| Pediatric Occupational Therapist | 225XP0200X | 025803 | NY | Primary |
Addresses
Primary practice location
183 31St St Apt 1
Brooklyn, NY 11232-1802
Mailing address
183 31St St Apt 1
Brooklyn, NY 11232-1802
Phone (717) 538-2494
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 |
|---|---|---|---|
| 025803 | NY | MD | Clinical Child & Adolescent Psychologist |
| 009167 | NY | MD | Optician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1481673600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628726400000",
"number": "1932643616",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "183 31ST ST APT 1",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112321802",
"telephone_number": "717-538-2494"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "183 31ST ST APT 1",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112321802",
"telephone_number": "717-538-2494"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARE",
"first_name": "DREW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-12-14",
"last_updated": "2021-08-12",
"certification_date": "2021-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "NY",
"license": "009167",
"primary": false
},
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "NY",
"license": "025803",
"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 Aug 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.