Enmanuel Moises Antonio Bencosme Alejo, OTR

Primary specialty

Mental Health Occupational TherapistTaxonomy code 225XM0800X

License

029796 Issued in NY

Practice address

1051 Riverside Dr
New York, NY 10032-1007

Phone

(646) 774-5000

NPI assigned

Feb 15, 2025

Sex

Male

Sole proprietor

No

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

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

{
    "created_epoch": "1739577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739577600000",
    "number": "1275338063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 HAVEN AVE # 92",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100322652",
            "telephone_number": "347-841-4147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1051 RIVERSIDE DR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100321007",
            "telephone_number": "646-774-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENCOSME ALEJO",
        "first_name": "ENMANUEL",
        "middle_name": "MOISES ANTONIO",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-02-15",
        "last_updated": "2025-02-15",
        "certification_date": "2025-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XM0800X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Mental Health",
            "state": "NY",
            "license": "029796",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Alice Bench, PH.D.
• Corinne Benchimol, D.O.
• Francis Bencik
• Alyssa Marie Bencivenga
• Heather Bencivenga, LCSW R
• Sherley Ann Bencosme
• Margaret Suzanne Benda, MA
• Tamara Bendahan, M.D.
• Sri Sneha Bendapudi, DO
• Melissa Esther Bendayan, MD

• Mental Health Occupational Therapist in New York, NY
• Providers in New York, NY by specialty
• Mental Health Occupational Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2025; 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.