Active NPI
Alyssa Detommaso, OT
- Physical Rehabilitation Occupational Therapist
- Hoboken, NJ
National Provider Identifier
1295325850
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Rehabilitation Occupational Therapist
- License
- 46TR00807400
- Practice address
- 1330 Willow Ave Apt 606
Hoboken, NJ 07030-3370 - Phone
- (201) 956-0784
- NPI assigned
- Jan 19, 2021
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Physical Rehabilitation Occupational Therapist | 225XP0019X | 46TR00807400 | NJ | Primary |
Addresses
Primary practice location
1330 Willow Ave Apt 606
Hoboken, NJ 07030-3370
Mailing address
718 Teaneck Rd
Teaneck, NJ 07666-4245
Phone (201) 833-3085
Other practice location 1
718 Teaneck Rd
Teaneck, NJ 07666-4245
Phone (201) 833-3085
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | teaneck | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 77.35 of 100
- Quality
- 73.31
- Improvement activities
- 40
- Cost
- 73.42
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 023103 | NY | MD | Massage Therapist |
| 46TR00807400 | NJ | MD | Physical Rehabilitation Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1611014400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710892800000",
"number": "1295325850",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "718 TEANECK RD",
"city": "TEANECK",
"state": "NJ",
"postal_code": "076664245",
"telephone_number": "201-833-3085"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1330 WILLOW AVE APT 606",
"city": "HOBOKEN",
"state": "NJ",
"postal_code": "070303370",
"telephone_number": "201-956-0784"
}
],
"practiceLocations": [
{
"address_1": "718 Teaneck Rd",
"address_purpose": "LOCATION",
"city": "Teaneck",
"state": "NJ",
"postal_code": "076664245",
"country_code": "US",
"telephone_number": "201-833-3085",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DETOMMASO",
"first_name": "ALYSSA",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-01-19",
"last_updated": "2024-03-20",
"certification_date": "2024-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0019X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Physical Rehabilitation",
"state": "NJ",
"license": "46TR00807400",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "teaneck",
"affiliation": "N",
"endpointDescription": "Holy Name Medical Center",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "718 Teaneck Rd",
"city": "Teaneck",
"state": "NJ",
"country_code": "US",
"postal_code": "076664245",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Hoboken, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.