Iraida Arvelo, LMT

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

18KT00761500 Issued in NJ

Practice address

164 Mount Pleasant Ave
Woodland Park, NJ 07424-2732

Phone

(201) 259-1236

NPI assigned

May 23, 2019

Sex

Female

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

Specialties & licenses 3

Addresses

Other identifiers 1

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

{
    "created_epoch": "1558569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558569600000",
    "number": "1831756071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "164 MOUNT PLEASANT AVE",
            "city": "WOODLAND PARK",
            "state": "NJ",
            "postal_code": "074242732",
            "telephone_number": "201-259-1236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "164 MOUNT PLEASANT AVE",
            "city": "WOODLAND PARK",
            "state": "NJ",
            "postal_code": "074242732",
            "telephone_number": "201-259-1236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARVELO",
        "first_name": "IRAIDA",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-23",
        "last_updated": "2019-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NJ",
            "license": "18KT00761500",
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NJ",
            "license": "18KT00761500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SELF",
            "identifier": "2012591236",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aman Vazir LLC
• Amer Institute of Gastroenterology
• Darine I Androwis, MD
• Melvin Araujo, ATC
• Randy Arsheed, DC
• Emman Mohamed Ashour
• Merve Awwal
• Christopher Alex Bahouth, DPT
• Francis Douglas Bauer, MD
• BCD Health Partners

• All providers in Woodland Park, NJ
• Behavior Analyst in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 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.