Individual provider Active NPI

Miguel F Noble Jr., OTR/L

  • Occupational Therapist
  • Staten Island, NY
National Provider Identifier
1649817032
Registry record updated Dec 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Practice address
16 Arlene St
Staten Island, NY 10314-2702
Phone
(917) 699-6042
NPI assigned
Dec 4, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 4, 2019

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 NY Primary

Addresses

Primary practice location

16 Arlene St
Staten Island, NY 10314-2702

Mailing address

16 Arlene St
Staten Island, NY 10314-2702

Other identifiers 1

IdentifierTypeStateIssuer
NONEOtherNYNONE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200221001060 NY Practitioner - Occupational Therapist in Private Practice 5193152650 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anchor Health Homecare Services IncGroup PAC ID 2163802570, 96 clinicians
My Medical PCGroup PAC ID 0143610600, 93 clinicians
Peyman Younesi MD PLLCGroup PAC ID 4981860202, 98 clinicians

Practice addresses (Care Compare)

Brooklyn, NY 11206
Phone (718) 701-7300

70 Father Capodanno Blvd
Staten Island, NY 10305-4803
Phone (718) 709-0940

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
017223NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Peyman Younesi MD PLLC CurrentSince Dec 30, 2024 Accepting new patients
Ats Rehab OT & PT & SLP PLLC Occupational Therapist CurrentSince Jan 9, 2025 Accepting new patients
Anchor Health Homecare Services Inc Occupational Therapist CurrentSince Oct 1, 2024 Accepting new patients
My Medical PC CurrentSince Feb 1, 2025 Accepting new patients
Core Therapy Services PT OT PLLC Occupational Therapist CurrentSince Jun 7, 2022 Accepting new patients
Rehabilitation Housecall PT & OT PLLC CurrentSince Nov 1, 2020 Accepting new patients
Link Home Therapy Services of Ny-PT OT SLP PLLC CurrentSince Jan 14, 2020 Accepting new patients

Locations

180 Sylvan Ave
Ste 4
Englewood Cliffs, NJ 07632
Phone (347) 841-8943

1105 E County Line Rd
Ste 213
Lakewood, NJ 08701

3438 Bell Blvd
Ste 301
Bayside, NY 11361

147 2nd Ave
Brentwood, NY 11717
Phone (631) 273-7204

2003 Coney Island Ave
Brooklyn, NY 11223
Phone (347) 394-1600

2830 Pitkin Ave
Brooklyn, NY 11208
Phone (347) 420-8295

46 Cook St
Brooklyn, NY 11206
Phone (718) 701-7300

8008 45th Ave
Flushing, NY 11373
Phone (718) 373-0777

10825 Horace Harding Expy
Flushing, NY 11368
Phone (516) 216-4108

9131 175th St
Jamaica, NY 11432
Phone (340) 709-3133

274 W Broadway
Long Beach, NY 11561
Phone (516) 431-1400

822 Cedar Ave
Niagara Falls, NY 14301
Phone (716) 272-1207

70 Father Capodanno Blvd
Staten Island, NY 10305
Phone (718) 273-8900

108 S Franklin Ave
Ste 10
Valley Stream, NY 11580

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1575417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575417600000",
    "number": "1649817032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 ARLENE ST",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103142702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 ARLENE ST",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103142702",
            "telephone_number": "917-699-6042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOBLE",
        "first_name": "MIGUEL",
        "middle_name": "F",
        "name_suffix": "Jr.",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-12-04",
        "last_updated": "2019-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NONE",
            "identifier": "NONE",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.