Jonathan Itzchakov

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

35 Eason Dr
Ridge, NY 11961-3111

Phone

(631) 345-6501

NPI assigned

Dec 3, 2013

Sex

Male

Sole proprietor

No

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.

• Sanjah Corp.

  • Early Intervention Provider Agency
  • Ridge, NY
  • NPI 1427300896
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

• Jonathan Itzchaki Former name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 3, 2013.

{
    "created_epoch": "1386028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386028800000",
    "number": "1376974261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14431 70TH AVE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113671713",
            "telephone_number": "718-487-3397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 EASON DR",
            "city": "RIDGE",
            "state": "NY",
            "postal_code": "119613111",
            "telephone_number": "631-345-6501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ITZCHAKOV",
        "first_name": "JONATHAN",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-12-03",
        "last_updated": "2013-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JONATHAN",
            "last_name": "ITZCHAKI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Healthy at Home Physical Therapy, PC
• Healthy at Home Physical Therapy, PC
• Stefanie Lee Healy
• Colleen A Hinck, RN
• Deseria Josy-Ann Hylton, RD, CDN
• Jeffrey a. Kaplan, DPM
• Patricia K Jensen, RN
• Danielle Kaplan, RN
• Jeffrey Andrew Kaplan, D.P.M.
• Jeffrey Mark Kaplan, MD

• All providers in Ridge, NY
• Student in an Organized Health Care Education/Training Program in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2013; 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.