Active NPI
Jacaranda Chapa, OTR/L
- Occupational Therapist
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 016704
- Practice address
- 460 W 34TH St
9TH Floor
New York, NY 10001-2320 - Phone
- (646) 812-1695
- NPI assigned
- May 10, 2011
- Last updated
- Feb 23, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 016704 | NY | Primary |
Addresses
Primary practice location
460 W 34TH St
9TH Floor
New York, NY 10001-2320
Mailing address
460 W 34TH St
9TH Floor
New York, NY 10001-2320
Phone (646) 812-1695
Other names 1
- Jacaranda Chapa Josephs
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Mercy College, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3060 E Tremont Ave
Bronx, NY 10461-5726
Phone (718) 239-1790
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Young Adult Institute, Inc. | Current | Accepting new patients | |
| Premier Healthcare, Inc. | Current | Accepting new patients | |
| Premier Healthcare, Inc. | Current | Accepting new patients |
Locations
21111 Northern Blvd
Bayside, NY 11361
Phone (212) 563-7474
3060 E Tremont Ave
Bronx, NY 10461
Phone (718) 239-1790
3060 E Tremont Ave
#2
Bronx, NY 10461
175 Remsen St
Brooklyn, NY 11201
Phone (718) 303-1300
220 E 42nd St
Fl 8
New York, NY 10017
Phone (212) 273-2761
460 W 34th St
Fl 9
New York, NY 10001
Phone (212) 273-6515
Interoperability endpoints
- jacaranda.josephs.p1@direct.premierhealthcare.nextgenshare.com
Organizations & group practices 3
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.
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-
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1304985600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1519344000000",
"number": "1841582715",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "460 W 34TH ST",
"address_2": "9TH FLOOR",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100012320",
"telephone_number": "646-812-1695"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "460 W 34TH ST",
"address_2": "9TH FLOOR",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100012320",
"telephone_number": "646-812-1695"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAPA",
"first_name": "JACARANDA",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-05-10",
"last_updated": "2018-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "016704",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JACARANDA",
"last_name": "CHAPA JOSEPHS",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2018; 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.