Individual provider Active NPI

John Michael Haber Jr., OTR/L

  • Occupational Therapist
  • Dobbs Ferry, NY
National Provider Identifier
1447472386
Registry record updated Dec 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
020365-1 Issued in NY
Practice address
535 Broadway
Dobbs Ferry, NY 10522-1118
Phone
(914) 693-4443
NPI assigned
May 2, 2007
Last updated
Dec 30, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2020

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 020365-1 NY Primary

Addresses

Primary practice location

535 Broadway
Dobbs Ferry, NY 10522-1118

Mailing address

162 Wilbur Ave
Apt 1006
Kingston, NY 12401-6228
Phone (845) 901-4965

Other practice location 1

250 Tuytenbridge Rd
Lake Katrine, NY 12449-5429
Phone (845) 336-7235 ext. 123

Other identifiers 1

IdentifierTypeStateIssuer
00473001MedicaidNY

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
020365-1NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Nogginsland, Inc. Occupational Therapist CurrentSince Jan 3, 2021 Accepting new patients
United Cerebral Palsy of Ulster County Inc PastSince May 2, 2007 Accepting new patients
United Cerebral Palsy of Ulster County Inc. 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": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609286400000",
    "number": "1447472386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "162 WILBUR AVE",
            "address_2": "APT 1006",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124016228",
            "telephone_number": "845-901-4965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 BROADWAY",
            "city": "DOBBS FERRY",
            "state": "NY",
            "postal_code": "105221118",
            "telephone_number": "914-693-4443"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "250 Tuytenbridge Rd",
            "address_purpose": "LOCATION",
            "city": "Lake Katrine",
            "state": "NY",
            "postal_code": "124495429",
            "country_code": "US",
            "telephone_number": "845-336-7235 x123",
            "fax_number": "845-336-4726",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HABER",
        "first_name": "JOHN",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-02",
        "last_updated": "2020-12-30",
        "certification_date": "2020-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "020365-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00473001",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dobbs Ferry, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2020; 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.