Individual provider Active NPI

Alex Jonah Israeli, OTR/L

  • Occupational Therapist
  • Brooklyn, NY
National Provider Identifier
1427640606
Registry record updated Feb 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
024605 Issued in NY
Practice address
210 Wallabout St
Brooklyn, NY 11206-5546
Phone
(718) 303-9400
NPI assigned
Feb 9, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2021

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 024605 NY Primary

Addresses

Primary practice location

210 Wallabout St
Brooklyn, NY 11206-5546

Mailing address

14738 70TH Ave
Flushing, NY 11367-1716
Phone (973) 704-0742

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)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1612828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612828800000",
    "number": "1427640606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14738 70TH AVE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113671716",
            "telephone_number": "973-704-0742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 WALLABOUT ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112065546",
            "telephone_number": "718-303-9400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISRAELI",
        "first_name": "ALEX",
        "middle_name": "JONAH",
        "name_prefix": "Mr.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-02-09",
        "last_updated": "2021-02-09",
        "certification_date": "2021-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "024605",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2021; 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.