Active NPI
Alexander Pomposello
- Occupational Therapist
- Center Moriches, NY
National Provider Identifier
1568195063
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 21680
- Practice address
- 26 Trainor Ave
Center Moriches, NY 11934-1405 - Phone
- (631) 905-7049
- NPI assigned
- Jul 3, 2022
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 21680 | NY | Primary |
Addresses
Primary practice location
26 Trainor Ave
Center Moriches, NY 11934-1405
Mailing address
26 Trainor Ave
Center Moriches, NY 11934-1405
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21680 | NY | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1656806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1656806400000",
"number": "1568195063",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26 TRAINOR AVE",
"city": "CENTER MORICHES",
"state": "NY",
"postal_code": "119341405"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26 TRAINOR AVE",
"city": "CENTER MORICHES",
"state": "NY",
"postal_code": "119341405",
"telephone_number": "631-905-7049"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POMPOSELLO",
"first_name": "ALEXANDER",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-07-03",
"last_updated": "2022-07-03",
"certification_date": "2022-07-03",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "21680",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Center Moriches, NY
- Gregory Petrucci
- Physical Medicine of Suffolk, LLP
- Andrew Alan Plastrik, MS, SLP
- Lindsey Plitt
- Kaitlan Polkinhorn, DDS
- Richard Ritt Pongvitayapanu, MD
- Pramod Bhanti, PT, PC (Comprehensive Physical Therapy & Rehab.)
- Carly Pronsky
- Qureshi Medical Services PLLC (Qureshi Medical Services)
- Ralph Frederick Ranghelli III, DMD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.