Active NPI
Jennifer Carroll Cunningham, MS, OTR/L
- Occupational Therapist
- Brooklyn, NY
National Provider Identifier
1982248381
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 023784
- Practice address
- 1825 Bath Ave
Brooklyn, NY 11214-4613 - Phone
- (718) 621-1614
- NPI assigned
- Oct 30, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | 023784 | NY | |
| Occupational Therapist | 225X00000X | 023784 | NY | Primary |
Addresses
Primary practice location
1825 Bath Ave
Brooklyn, NY 11214-4613
Mailing address
4938 Annandale LN
Little Neck, NY 11362-1304
Phone (917) 715-1988
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 023784 | NY | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1572393600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1610064000000",
"number": "1982248381",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4938 ANNANDALE LN",
"city": "LITTLE NECK",
"state": "NY",
"postal_code": "113621304",
"telephone_number": "917-715-1988"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1825 BATH AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112144613",
"telephone_number": "718-621-1614"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CUNNINGHAM",
"first_name": "JENNIFER",
"middle_name": "CARROLL",
"credential": "MS, OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-10-30",
"last_updated": "2021-01-08",
"certification_date": "2021-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "NY",
"license": "023784",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "023784",
"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 Jan 8, 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.