Judener Fontilus, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

Practice address

135 Linden Blvd
Brooklyn, NY 11226-3302

Phone

(718) 576-7000

NPI assigned

Aug 15, 2018

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1534291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534291200000",
    "number": "1952881419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "712 CALICO CT APT E",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478034252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 LINDEN BLVD",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112263302",
            "telephone_number": "718-576-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FONTILUS",
        "first_name": "JUDENER",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-15",
        "last_updated": "2018-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara Ilana Fontanez, M.D.
• Gabrielle Esther Fonteneaux, MD
• Christine Fontenelle, NP
• Ran T Fontenelle
• Valy Fontil
• Marshle Fontilus, DPT
• Jeremy Charles Fontirroche, MD
• Ramon Fontonez, COTA
• David Michael Foo
• Shu Hao Foo, LMHC

• Occupational Therapy Assistant in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Occupational Therapy Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2018; 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.