Active NPI
Alexandra Minkoff
- Occupational Therapist
- Morristown, NJ
National Provider Identifier
1770031270
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 46TR01020800
- Practice address
- 77 Madison Ave
Morristown, NJ 07960-7330 - Phone
- (973) 540-9800
- NPI assigned
- Sep 14, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OC014611 | PA | |
| Occupational Therapist | 225X00000X | 46TR01020800 | NJ | Primary |
Addresses
Primary practice location
77 Madison Ave
Morristown, NJ 07960-7330
Mailing address
206 Spring Ridge Dr
Berkeley Heights, NJ 07922-2052
Other practice location 1
625 Walnut St
McKeesport, PA 15132-2806
Phone (412) 673-5005
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770031270 | Medicaid | PA |
Electronic endpoints 4
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | minkoffa3@upmc.edu | Direct | |
| Direct Messaging Address | minkoffa3@Upmc.edu | Health Information Exchange (HIE) | |
| Direct Messaging Address | upmchospitals@upmcdirect.com | Health Information Exchange (HIE) | |
| Direct Messaging Address | Amin75158@selectrehab.com |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 46TR01020800 | NJ | MD | Occupational Therapist |
| OC014611 | PA | MD | Occupational Therapist |
Interoperability endpoints
- amin75158@selectrehab.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1473811200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632960000000",
"number": "1770031270",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "206 SPRING RIDGE DR",
"city": "BERKELEY HEIGHTS",
"state": "NJ",
"postal_code": "079222052"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "77 MADISON AVE",
"city": "MORRISTOWN",
"state": "NJ",
"postal_code": "079607330",
"telephone_number": "973-540-9800"
}
],
"practiceLocations": [
{
"address_1": "625 Walnut St",
"address_purpose": "LOCATION",
"city": "McKeesport",
"state": "PA",
"postal_code": "151322806",
"country_code": "US",
"telephone_number": "412-673-5005",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MINKOFF",
"first_name": "ALEXANDRA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-09-14",
"last_updated": "2021-09-30",
"certification_date": "2021-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "PA",
"license": "OC014611",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NJ",
"license": "46TR01020800",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1770031270",
"state": "PA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "minkoffa3@upmc.edu",
"affiliation": "N",
"endpointDescription": "email",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "625 Walnut St",
"city": "McKeesport",
"state": "PA",
"country_code": "US",
"postal_code": "151322806",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "minkoffa3@Upmc.edu",
"affiliation": "N",
"endpointDescription": "email",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "625 Walnut St",
"city": "McKeesport",
"state": "PA",
"country_code": "US",
"postal_code": "151322806",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "upmchospitals@upmcdirect.com",
"affiliation": "N",
"endpointDescription": "email",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "625 Walnut St",
"city": "McKeesport",
"state": "PA",
"country_code": "US",
"postal_code": "151322806",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Amin75158@selectrehab.com",
"affiliation": "N",
"endpointDescription": "Email",
"address_1": "77 Madison Ave",
"city": "Morristown",
"state": "NJ",
"country_code": "US",
"postal_code": "079607330",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Morristown, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.