Shifra K Leiser, MA, OTR

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

46TR00158500 Issued in NJ

Practice address

65 Bergen St
Newark, NJ 07107-3001

Phone

(973) 972-0186

Fax

(973) 972-2645

NPI assigned

Oct 16, 2009

Sex

Female

Sole proprietor

Yes

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

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1255651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1255651200000",
    "number": "1033444559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 REID AVE",
            "city": "PASSAIC",
            "state": "NJ",
            "postal_code": "070553415",
            "telephone_number": "973-773-4533",
            "fax_number": "973-365-1066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 BERGEN ST",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071073001",
            "telephone_number": "973-972-0186",
            "fax_number": "973-972-2645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEISER",
        "first_name": "SHIFRA",
        "middle_name": "K",
        "credential": "MA, OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-16",
        "last_updated": "2009-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NJ",
            "license": "46TR00158500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Lee, D.O.
• Yaejun Lee
• Michael Benjamin Leff
• Ashley Leger
• Gregory Lehnes, DMD
• Mehdi Skender Lemdani
• Latifah Lemon, LPN
• Stephanie J Lempel, MD
• Lenox Support Agency Inc
• Sarina Lara Lentini, LCSW, LCADC

• Pediatric Occupational Therapist in Newark, NJ
• Providers in Newark, NJ by specialty
• Pediatric Occupational Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2009; 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.