Individual provider Active NPI

Felix Enabosi, PHD;OTR

  • Specialist
  • Yonkers, NY
National Provider Identifier
1447396569
Registry record updated Aug 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
003058-1 Issued in NY
Practice address
30 S Broadway FL 4
Yonkers, NY 10701-3708
Phone
(914) 968-5464
NPI assigned
Jan 29, 2007
Last updated
Aug 23, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 23, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 003058-1 NY Primary

Addresses

Primary practice location

30 S Broadway FL 4
Yonkers, NY 10701-3708

Mailing address

30 S Broadway FL 4
Yonkers, NY 10701-3708
Phone (914) 968-5464

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

LicenseStateTypeSpecialty
003058-1NYMDSpecialist
003058NYMDNeonatal-Perinatal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kings Education Services CurrentSince Aug 29, 2021 Accepting new patients
Kings Education Services, O.T., R.P.N., P.T., S.L.P., PLLC CurrentSince Aug 29, 2021 Accepting new patients
Community Rehabilitation Services Specialist Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629676800000",
    "number": "1447396569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 S BROADWAY FL 4",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107013708",
            "telephone_number": "914-968-5464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 S BROADWAY FL 4",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107013708",
            "telephone_number": "914-968-5464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENABOSI",
        "first_name": "FELIX",
        "name_prefix": "Dr.",
        "credential": "PHD;OTR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-29",
        "last_updated": "2021-08-23",
        "certification_date": "2021-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "003058-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yonkers, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 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.