Individual provider Active NPI

Jessica Lebovitz

  • Pediatric Occupational Therapist
  • Teaneck, NJ
National Provider Identifier
1598215527
Registry record updated Oct 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
019866-1 Issued in NY
Practice address
441 W Englewood Ave
Teaneck, NJ 07666-2849
Phone
(917) 846-9240
NPI assigned
Oct 13, 2016
Last updated
Oct 13, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X 019866-1 NY Primary

Addresses

Primary practice location

441 W Englewood Ave
Teaneck, NJ 07666-2849

Mailing address

441 W Englewood Ave
Teaneck, NJ 07666-2849
Phone (917) 846-9240

Other names 1

  • Jessica Roffel Former name

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

LicenseStateTypeSpecialty
019866-1NYMDPediatric Physical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1476316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476316800000",
    "number": "1598215527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "441 W ENGLEWOOD AVE",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076662849",
            "telephone_number": "917-846-9240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "441 W ENGLEWOOD AVE",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076662849",
            "telephone_number": "917-846-9240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEBOVITZ",
        "first_name": "JESSICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-13",
        "last_updated": "2016-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NY",
            "license": "019866-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "ROFFEL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Teaneck, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 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.

Verify at the official NPI Registry.