Individual provider Active NPI

Yitzchok Markovitz, OT

  • Occupational Therapist
  • Lakewood, NJ
National Provider Identifier
1174124515
Registry record updated Nov 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
46TR00948700 Issued in NJ
Practice address
96 Seminole Dr
Lakewood, NJ 08701-1152
Phone
(646) 549-6511
NPI assigned
Nov 3, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 3, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 46TR00948700 NJ Primary

Addresses

Primary practice location

96 Seminole Dr
Lakewood, NJ 08701-1152

Mailing address

96 Seminole Dr
Lakewood, NJ 08701-1152
Phone (646) 549-6511

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Lakewood Health Information Exchange (HIE)

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
PT on the Go PC CurrentSince Aug 8, 2021 Accepting new patients
Gevurah LLC Occupational Therapist CurrentSince Jun 26, 2022 Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1604361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604361600000",
    "number": "1174124515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "96 SEMINOLE DR",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087011152",
            "telephone_number": "646-549-6511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "96 SEMINOLE DR",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087011152",
            "telephone_number": "646-549-6511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARKOVITZ",
        "first_name": "YITZCHOK",
        "credential": "OT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-11-03",
        "last_updated": "2020-11-03",
        "certification_date": "2020-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR00948700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Lakewood",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "PDF",
            "address_1": "96 Seminole Dr",
            "city": "Lakewood",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "087011152",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lakewood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2020; 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.