Active NPI
Idamar J Jorge, MSOTR/L
- Occupational Therapist
- Yorktown Heights, NY
National Provider Identifier
1588045520
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 46TR00664500
- Practice address
- 1940 Commerce St
Suite 210
Yorktown Heights, NY 10598-4428 - Phone
- (914) 631-9020
- NPI assigned
- Jun 16, 2015
- Sex
- Female
- 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 | 46TR00664500 | NJ | Primary |
Addresses
Primary practice location
1940 Commerce St
Suite 210
Yorktown Heights, NY 10598-4428
Mailing address
1940 Commerce St
Suite 210
Yorktown Heights, NY 10598-4428
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 |
|---|---|---|---|
| 46TR00664500 | NJ | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1434412800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1456790400000",
"number": "1588045520",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1940 COMMERCE ST",
"address_2": "SUITE 210",
"city": "YORKTOWN HEIGHTS",
"state": "NY",
"postal_code": "105984428"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1940 COMMERCE ST",
"address_2": "SUITE 210",
"city": "YORKTOWN HEIGHTS",
"state": "NY",
"postal_code": "105984428",
"telephone_number": "914-631-9020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JORGE",
"first_name": "IDAMAR",
"middle_name": "J",
"credential": "MSOTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-06-16",
"last_updated": "2016-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NJ",
"license": "46TR00664500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Yorktown Heights, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.