Active NPI
Alisa Mira Lindenbaum, LCAT
- Art Therapist
- Westwood, NJ
National Provider Identifier
1679933162
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Art Therapist
- License
- 001983
- Practice address
- 223 Old Hook Rd Ste 2D
Westwood, NJ 07675-3132 - Phone
- (201) 691-4015
- NPI assigned
- Feb 26, 2016
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Art Therapist | 221700000X | 001983 | NY | Primary |
Addresses
Primary practice location
223 Old Hook Rd Ste 2D
Westwood, NJ 07675-3132
Mailing address
37 Shelby St
Dumont, NJ 07628-3111
Phone (732) 306-6771
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 |
|---|---|---|---|
| 001983 | NY | MD | Anesthesiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1456444800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1555459200000",
"number": "1679933162",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "37 SHELBY ST",
"city": "DUMONT",
"state": "NJ",
"postal_code": "076283111",
"telephone_number": "732-306-6771"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "223 OLD HOOK RD STE 2D",
"city": "WESTWOOD",
"state": "NJ",
"postal_code": "076753132",
"telephone_number": "201-691-4015"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LINDENBAUM",
"first_name": "ALISA",
"middle_name": "MIRA",
"credential": "LCAT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-02-26",
"last_updated": "2019-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "221700000X",
"taxonomy_group": "",
"desc": "Art Therapist",
"state": "NY",
"license": "001983",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Westwood, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.