Individual provider Active NPI

Alisa Mira Lindenbaum, LCAT

  • Art Therapist
  • Westwood, NJ
National Provider Identifier
1679933162
Registry record updated Apr 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Art TherapistTaxonomy code 221700000X
License
001983 Issued in NY
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

Updated by the provider on Apr 17, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
001983NYMDAnesthesiology 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.

Verify at the official NPI Registry.