Individual provider Active NPI

Noha Aladdin Elfar, OTR/L

  • Hand Occupational Therapist
  • Shirley, NY
National Provider Identifier
1861805699
Registry record updated Jun 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hand Occupational TherapistTaxonomy code 225XH1200X
License
017832-1 Issued in NY
Practice address
61 Mastic Blvd W
Shirley, NY 11967-2241
Phone
(631) 902-4375
NPI assigned
Jun 10, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 3, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 46TR00569200 NJ
Hand Occupational Therapist 225XH1200X 017832-1 NY Primary

Addresses

Primary practice location

61 Mastic Blvd W
Shirley, NY 11967-2241

Mailing address

61 Mastic Blvd West
Shirley, NY 11967-3149
Phone (631) 902-4375

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170626001605 NY Practitioner - Occupational Therapist in Private Practice 5294003778 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

521 Route 111
Suite 200
Hauppauge, NY 11788-4358
Phone (631) 760-7800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
017832NYMDPhysical Therapist
46TR00569200NJMDOccupational Therapist
017832-1NYMDHand Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Performance Physical Therapy PC CurrentSince Jun 1, 2017 Accepting new patients
Hand in Hand Occupational Therapy of Li, PLLC Occupational Therapist CurrentSince Sep 11, 2017 Accepting new patients
Liht Occupational Therapy PC Occupational Therapist CurrentSince Jun 1, 2017 Accepting new patients

Locations

1325 Franklin Ave
Ste LL105
Garden City, NY 11530
Phone (516) 280-8811

521 Route 111
Ste 200
Hauppauge, NY 11788
Phone (631) 760-7800

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1402358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1496448000000",
    "number": "1861805699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 MASTIC BLVD WEST",
            "city": "SHIRLEY",
            "state": "NY",
            "postal_code": "119673149",
            "telephone_number": "631-902-4375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 MASTIC BLVD W",
            "city": "SHIRLEY",
            "state": "NY",
            "postal_code": "119672241",
            "telephone_number": "631-902-4375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELFAR",
        "first_name": "NOHA",
        "middle_name": "ALADDIN",
        "name_prefix": "Ms.",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-10",
        "last_updated": "2017-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR00569200",
            "primary": false
        },
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "NY",
            "license": "017832-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shirley, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2017; 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.

Verify at the official NPI Registry.