Active NPI
Alexandra Frolov, OTR/L
- Occupational Therapist
- Fair Lawn, NJ
National Provider Identifier
1891998415
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 46TR00353300
- Practice address
- 38-48 Van Riper PL
Fair Lawn, NJ 07410-5010 - Phone
- (201) 703-0534
- NPI assigned
- Jun 10, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | |||
| Occupational Therapist | 225X00000X | 46TR00353300 | NJ | Primary |
Addresses
Primary practice location
38-48 Van Riper PL
Fair Lawn, NJ 07410-5010
Mailing address
38-48 Van Riper PL
Fair Lawn, NJ 07410-5010
Phone (201) 703-0534
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
38 -48 Van Riper PL
Fair Lawn, NJ 07410-5010
Phone (201) 417-8675
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 46TR00353300 | NJ | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| PMK Rehab,LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Occupational Therapist
- Fair Lawn, NJ
- NPI 1780289496
-
- Rehabilitation Hospital Unit
- Edison, NJ
- NPI 1376721761
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181433600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606780800000",
"number": "1891998415",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "38-48 VAN RIPER PL",
"city": "FAIR LAWN",
"state": "NJ",
"postal_code": "074105010",
"telephone_number": "201-703-0534"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "38-48 VAN RIPER PL",
"city": "FAIR LAWN",
"state": "NJ",
"postal_code": "074105010",
"telephone_number": "201-703-0534"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FROLOV",
"first_name": "ALEXANDRA",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-06-10",
"last_updated": "2020-12-01",
"certification_date": "2020-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NJ",
"license": "46TR00353300",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fair Lawn, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 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.