Individual provider Active NPI

Yafit Nissanov-Pozilov, OTR/L

  • Pediatric Occupational Therapist
  • Cliffside Park, NJ
National Provider Identifier
1144604885
Registry record updated Jul 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
023701 Issued in NY
Practice address
200 Winston Dr Apt 718
Cliffside Park, NJ 07010-3214
Phone
(201) 888-0573
Fax
(718) 233-9688
NPI assigned
Jul 13, 2015
Last updated
Jul 10, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X NU
Pediatric Occupational Therapist 225XP0200X 023701 NY Primary

Addresses

Primary practice location

200 Winston Dr Apt 718
Cliffside Park, NJ 07010-3214

Mailing address

14732 72ND Rd # Apart2D
Flushing, NY 11367-2566
Phone (718) 300-2707

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

LicenseStateTypeSpecialty
023701NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
OT Steps LLC Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1436745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562716800000",
    "number": "1144604885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14732 72ND RD # APART2D",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113672566",
            "telephone_number": "718-300-2707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 WINSTON DR APT 718",
            "city": "CLIFFSIDE PARK",
            "state": "NJ",
            "postal_code": "070103214",
            "telephone_number": "201-888-0573",
            "fax_number": "718-233-9688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NISSANOV-POZILOV",
        "first_name": "YAFIT",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-13",
        "last_updated": "2019-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NY",
            "license": "023701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cliffside Park, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2019; 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.