Active NPI
Dexter Gamaliel Abiera Jr., OTR
- Occupational Therapist
- Bronx, NY
National Provider Identifier
1174725568
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 013486
- Practice address
- 245 E 149TH St
4C
Bronx, NY 10451-5516 - Phone
- (718) 993-2710
- Fax
- (718) 402-6586
- NPI assigned
- Jun 5, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 013486 | NY | Primary |
Addresses
Primary practice location
245 E 149TH St
4C
Bronx, NY 10451-5516
Mailing address
1938 Edison Ave Apt 1R
Bronx, NY 10461-4076
Phone (347) 621-4646
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 013486 | NY | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ucp of Nyc, Inc. | Past | Accepting new patients |
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
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.
-
- Medical-Surgical Registered Nurse
- Bronx, NY
- NPI 1518179142
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181001600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1174725568",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1938 EDISON AVE APT 1R",
"city": "BRONX",
"state": "NY",
"postal_code": "104614076",
"telephone_number": "347-621-4646"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "245 E 149TH ST",
"address_2": "4C",
"city": "BRONX",
"state": "NY",
"postal_code": "104515516",
"telephone_number": "718-993-2710",
"fax_number": "718-402-6586"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABIERA",
"first_name": "DEXTER",
"middle_name": "GAMALIEL",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "013486",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bronx, NY
- Abian Transportation Inc .
- Hayder Abidali, DO
- Abiel Taxi, Transportation Logisitcs Corp.
- Abiel Transportation Corp
- Charmaine Ruby Nadela Abiera, RPT
- Ability Builders for Children, LLC
- Ability Builders for Children, LLC
- Ability Builders for Children, LLC
- Ability Medical Supplies Inc.
- Victoria Funmi Abiodun
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.