Individual provider Active NPI

Elisheva Seldowitz, OTR/L

  • Occupational Therapist
  • Passaic, NJ
National Provider Identifier
1922313147
Registry record updated Jul 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
014768-1 Issued in NY
Practice address
115 Lafayette Ave
Passaic, NJ 07055-4709
Phone
(718) 909-0543
NPI assigned
Aug 12, 2010
Last updated
Jul 3, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 3, 2023

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 014768-1 NY Primary
Occupational Therapist 225X00000X 46TR00437900 NJ

Addresses

Primary practice location

115 Lafayette Ave
Passaic, NJ 07055-4709

Mailing address

115 Lafayette Ave
Passaic, NJ 07055-4709
Phone (718) 909-0543

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
46TR00437900NJMDOccupational Therapist
014768-1NYMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1281571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688342400000",
    "number": "1922313147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 LAFAYETTE AVE",
            "city": "PASSAIC",
            "state": "NJ",
            "postal_code": "070554709",
            "telephone_number": "718-909-0543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 LAFAYETTE AVE",
            "city": "PASSAIC",
            "state": "NJ",
            "postal_code": "070554709",
            "telephone_number": "718-909-0543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELDOWITZ",
        "first_name": "ELISHEVA",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-12",
        "last_updated": "2023-07-03",
        "certification_date": "2023-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "014768-1",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR00437900",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Passaic, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2023; 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.