Individual provider Active NPI

Pauline Nicole Gasparro, OTR/L

  • Hand Occupational Therapist
  • Somerset, NJ
National Provider Identifier
1013446368
Registry record updated Jun 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hand Occupational TherapistTaxonomy code 225XH1200X
Practice address
7 Cedar Grove LN Ste 39
Somerset, NJ 08873-1331
Phone
(732) 469-5680
NPI assigned
Jun 9, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 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
Hand Occupational Therapist 225XH1200X Primary

Addresses

Primary practice location

7 Cedar Grove LN Ste 39
Somerset, NJ 08873-1331

Mailing address

1 Hillside Ave Apt 5
Rockaway, NJ 07866-4134

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170721000963 NJ Practitioner - Occupational Therapist in Private Practice 0042580185 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Jag-One Physical Therapy, LLC CurrentSince May 20, 2021 Accepting new patients
Ivyrehab Network Inc. Occupational Therapist Current Accepting new patients
Ivyrehab Network Inc Occupational Therapist CurrentSince Feb 12, 2019 Accepting new patients
Ivyrehab Network, Inc. Occupational Therapist CurrentSince Feb 12, 2019 Accepting new patients

Locations

1255 Broad St
Bloomfield, NJ 07003
Phone (973) 338-7575

981 US Highway 22
Fl 2
Bridgewater, NJ 08807
Phone (908) 231-0511

187 Columbia Tpke
Florham Park, NJ 07932
Phone (973) 377-5655

454 Passaic St
Hackensack, NJ 07601
Phone (201) 488-7905

221 Rockingham Row
Princeton, NJ 08540
Phone (609) 580-1520

622 Eagle Rock Ave
West Orange, NJ 07052
Phone (973) 669-0078

1377 Motor Pkwy
Ste 307
Ronkonkoma, NY 11749

Organizations & group practices 4

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": "1496966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1496966400000",
    "number": "1013446368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 HILLSIDE AVE APT 5",
            "city": "ROCKAWAY",
            "state": "NJ",
            "postal_code": "078664134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 CEDAR GROVE LN STE 39",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "088731331",
            "telephone_number": "732-469-5680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GASPARRO",
        "first_name": "PAULINE",
        "middle_name": "NICOLE",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-09",
        "last_updated": "2017-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerset, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2017; 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.