Individual provider Active NPI

Aryeh Wizman

  • Occupational Therapist
  • Monroe, NY
National Provider Identifier
1750753869
Registry record updated Dec 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
020121 Issued in NY
Practice address
1 Dinev Rd
Monroe, NY 10950-6487
Phone
(845) 782-7510
Fax
(845) 782-5849
NPI assigned
Oct 28, 2015
Last updated
Dec 21, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 21, 2016

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 020121 NY Primary

Addresses

Primary practice location

1 Dinev Rd
Monroe, NY 10950-6487

Mailing address

48 Bakertown Rd
Suite 401
Monroe, NY 10950-8428
Phone (845) 782-2300

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160201000642 NY Practitioner - Occupational Therapist in Private Practice 3072817782 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2015
Medicare assignment
May accept Medicare assignment
Group practices
Hamaspik of Orange County IncGroup PAC ID 8224429527, 8 clinicians

Practice addresses (Care Compare)

1 Hamasplk Way
3Rd Floor
Monroe, NY 10950-6648
Phone (845) 774-0327

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Hamaspik of Orange County, Inc. CurrentSince Apr 13, 2022 Accepting new patients
Community Medical & Dental Care Inc Past Accepting new patients

Locations

1 Hamaspik Way
Monroe, NY 10950
Phone (718) 266-9742

1 Hamaspik Way
Fl 3
Monroe, NY 10950
Phone (845) 587-7784

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1445990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482278400000",
    "number": "1750753869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48 BAKERTOWN RD",
            "address_2": "SUITE 401",
            "city": "MONROE",
            "state": "NY",
            "postal_code": "109508428",
            "telephone_number": "845-782-2300",
            "fax_number": "845-782-4176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 DINEV RD",
            "city": "MONROE",
            "state": "NY",
            "postal_code": "109506487",
            "telephone_number": "845-782-7510",
            "fax_number": "845-782-5849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIZMAN",
        "first_name": "ARYEH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-10-28",
        "last_updated": "2016-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "020121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2016; 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.