Individual provider Active NPI

Jenifer Aedra Jacobs Wein, OTR/L

  • Pediatric Occupational Therapist
  • Pleasantville, NY
National Provider Identifier
1801049739
Registry record updated Oct 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
006926 Issued in NY
Practice address
111 Sky Top Dr
Pleasantville, NY 10570-1214
Phone
(914) 239-8584
Fax
(914) 239-8584
NPI assigned
Oct 22, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 22, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X 006926 NY Primary

Addresses

Primary practice location

111 Sky Top Dr
Pleasantville, NY 10570-1214

Mailing address

111 Sky Top Dr
Pleasantville, NY 10570-1214
Phone (914) 239-8584

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
006926NYMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
J.J. Wein OT PLLC Pediatrics Past Accepting new patients

Organizations & group practices 1

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": "1224633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224633600000",
    "number": "1801049739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 SKY TOP DR",
            "city": "PLEASANTVILLE",
            "state": "NY",
            "postal_code": "105701214",
            "telephone_number": "914-239-8584",
            "fax_number": "914-239-8584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 SKY TOP DR",
            "city": "PLEASANTVILLE",
            "state": "NY",
            "postal_code": "105701214",
            "telephone_number": "914-239-8584",
            "fax_number": "914-239-8584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBS WEIN",
        "first_name": "JENIFER",
        "middle_name": "AEDRA",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-22",
        "last_updated": "2008-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NY",
            "license": "006926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pleasantville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2008; 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.