Individual provider Active NPI

Mahalia Elaine S Ong, OTR/L, CHT, CLT

  • Occupational Therapist
  • Westfield, NJ
National Provider Identifier
1003011156
Registry record updated Feb 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
46TR00305500 Issued in NJ
Practice address
1124 South Ave W
Westfield, NJ 07090-1419
Phone
(908) 233-1222
Fax
(732) 855-9755
NPI assigned
Jun 19, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2021

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 46TR00305500 NJ Primary

Addresses

Primary practice location

1124 South Ave W
Westfield, NJ 07090-1419

Mailing address

PO Box 1014
Clark, NJ 07066-1014
Phone (732) 855-9751

Other practice location 1

90 Bergen St
Newark, NJ 07103-2425
Phone (973) 972-2800

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210208000968 NJ Practitioner - Occupational Therapist in Private Practice 1052725835 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Pro Staff Physical Therapy PC Occupational Therapist CurrentSince Apr 28, 2022 Accepting new patients
Twin Boro Physical Therapy Associates PA Occupational Therapist CurrentSince Jan 19, 2021 Accepting new patients
Twin Boro Physical Therapy Associates, PA Occupational Therapist CurrentSince Jan 19, 2021 Accepting new patients

Locations

935 Allwood Rd
Fl First
Clifton, NJ 07012
Phone (973) 928-3590

20 Commerce Dr
Ste 210
Cranford, NJ 07016

49 Claremont Ave
Ste 5
Montclair, NJ 07042
Phone (973) 680-8390

2050 State Route 27
Ste 107
North Brunswick, NJ 08902
Phone (732) 745-2727

265 Franklin Ave
Nutley, NJ 07110
Phone (973) 661-0500

1124 South Ave W
Westfield, NJ 07090
Phone (908) 212-9711

Interoperability endpoints

  • FHIR API: https://epicproxy.et0434.epichosted.com/APIProxyPRD/UHNJ/api/FHIR/R4

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": "1182211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612310400000",
    "number": "1003011156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1014",
            "city": "CLARK",
            "state": "NJ",
            "postal_code": "070661014",
            "telephone_number": "732-855-9751",
            "fax_number": "732-855-9755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1124 SOUTH AVE W",
            "city": "WESTFIELD",
            "state": "NJ",
            "postal_code": "070901419",
            "telephone_number": "908-233-1222",
            "fax_number": "732-855-9755"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "90 Bergen St",
            "address_purpose": "LOCATION",
            "city": "Newark",
            "state": "NJ",
            "postal_code": "071032425",
            "country_code": "US",
            "telephone_number": "973-972-2800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ONG",
        "first_name": "MAHALIA ELAINE",
        "middle_name": "S",
        "credential": "OTR/L, CHT, CLT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-19",
        "last_updated": "2021-02-03",
        "certification_date": "2021-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR00305500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westfield, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.