Individual provider Active NPI

Alexander Esena, OT

  • Occupational Therapist
  • Orange, NJ
National Provider Identifier
1871128785
Registry record updated Mar 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
46TR00852700 Issued in NJ
Practice address
463 Lakeside Ave
Orange, NJ 07050-1811
Phone
(973) 934-8503
NPI assigned
Mar 11, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 46TR00852700 NJ Primary

Addresses

Primary practice location

463 Lakeside Ave
Orange, NJ 07050-1811

Mailing address

463 Lakeside Ave
Orange, NJ 07050-1811
Phone (973) 934-8503

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220708003378 NJ Practitioner - Occupational Therapist in Private Practice 5890175764 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Total Care Physical Therapy and Sports Medicine PCGroup PAC ID 3678875978, 7 clinicians

Practice addresses (Care Compare)

4801 Broadway
Union City, NJ 07087-6516
Phone (201) 751-5000

Merit-based Incentive Payment System (MIPS)

Final score
78.07 of 100Reported as group
Quality
100
Improvement activities
40
Cost
26.89

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
46TR00852700NJMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Prestige Rehab LLC Occupational Therapist CurrentSince Jun 28, 2022 Accepting new patients
Medwell LLC CurrentSince Jan 13, 2023 Accepting new patients
Total Care Physical Therapy & Sports Medicine PC CurrentSince May 4, 2025 Accepting new patients

Locations

33 Central Ave
Midland Park, NJ 07432
Phone (201) 447-9022

4801 Broadway
Union City, NJ 07087
Phone (201) 543-1668

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": "1583884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583884800000",
    "number": "1871128785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "463 LAKESIDE AVE",
            "city": "ORANGE",
            "state": "NJ",
            "postal_code": "070501811",
            "telephone_number": "973-934-8503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "463 LAKESIDE AVE",
            "city": "ORANGE",
            "state": "NJ",
            "postal_code": "070501811",
            "telephone_number": "973-934-8503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESENA",
        "first_name": "ALEXANDER",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-11",
        "last_updated": "2020-03-11",
        "certification_date": "2020-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR00852700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2020; 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.