Mayk Alsaqqa

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

47TR00153800 Issued in NJ

Practice address

126 Mortimer Ave
Rutherford, NJ 07070-1615

Phone

(973) 356-9009

NPI assigned

Sep 15, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 3

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Mobile Therapy Services, Inc.

  • Physical Therapist
  • Ocean, NJ
  • NPI 1326495615

  NJ, Occupational Therapist

  Medicare reassignment NPD
• Speech Therapy Source Inc

  • Rehabilitation Clinic/Center
  • Clifton, NJ
  • NPI 1356177356

  NJ

  Medicare reassignment NPD
• Garden State Rehab Services

  • Rehabilitation Clinic/Center
  • Elmwood Park, NJ
  • NPI 1689067563

  NJ

  Medicare reassignment
• At Home by Enhance Therapies LLC

  • Physical Therapist
  • Lakewood, NJ
  • NPI 1124603246

  Occupational Therapist

  NPD
• Prime Rehabilitation Services, Inc.

  • Physical Therapist
  • Ocean, NJ
  • NPI 1801279054

  Occupational Therapist

  NPD

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

{
    "created_epoch": "1568505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568505600000",
    "number": "1831749563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 MORTIMER AVE",
            "city": "RUTHERFORD",
            "state": "NJ",
            "postal_code": "070701615",
            "telephone_number": "973-356-9009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 MORTIMER AVE",
            "city": "RUTHERFORD",
            "state": "NJ",
            "postal_code": "070701615",
            "telephone_number": "973-356-9009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALSAQQA",
        "first_name": "MAYK",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-09-15",
        "last_updated": "2019-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "47TR00153800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Myke2929@hotmail.com",
            "affiliation": "N",
            "endpointDescription": "Home",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "contentOtherDescription": "Phone",
            "address_1": "126 Mortimer Ave",
            "city": "Rutherford",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "070701615",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Myke2929@hotmail.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "126 Mortimer Ave",
            "city": "Rutherford",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "070701615",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Myke2929@hotmail.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Email",
            "address_1": "126 Mortimer Ave",
            "city": "Rutherford",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "070701615",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Liliana Yaritza Alcantara, LMT
• Joel A Alcid, M.D.
• Algology Anesthesia Associates LLC
• Algology Associates, P.C.
• Nelly Alkouraan
• Wayne J Altman, MD
• Alumni Chiropractic Inc.
• Marcela Alvarado
• Am Health Inc
• Jessica Fawn Ambrosini, LCSW

• All providers in Rutherford, NJ
• Occupational Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.