Active NPI
Hazel Duke
- Occupational Therapist
- Brooklyn, NY
National Provider Identifier
1942436951
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 008279-1
- Practice address
- 104 S Portland Ave
Brooklyn, NY 11217-1532 - Phone
- (845) 345-2223
- NPI assigned
- Jun 4, 2009
- Sex
- Female
- 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 | 008279-1 | MD | Primary |
Addresses
Primary practice location
104 S Portland Ave
Brooklyn, NY 11217-1532
Mailing address
104 South Portland
Brooklyn, NY 11218
Other names 1
- Hazel Duke
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 |
|---|---|---|---|
| 008279-1 | MD | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1244073600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1402963200000",
"number": "1942436951",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "104 SOUTH PORTLAND",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11218"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "104 S PORTLAND AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112171532",
"telephone_number": "845-345-2223"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUKE",
"first_name": "HAZEL",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-06-04",
"last_updated": "2014-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MD",
"license": "008279-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "HAZEL",
"last_name": "DUKE",
"credential": "OTR",
"code": "2",
"type": "Professional Name"
}
]
}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 Jun 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.