Mary K Apollo, RDH, QOM

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

22H100779600 Issued in NJ

Practice address

756 Hartwell St
Teaneck, NJ 07666-5312

Phone

(201) 790-4610

NPI assigned

Jun 18, 2024

Sex

Female

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 18, 2024.

{
    "created_epoch": "1718668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718668800000",
    "number": "1013750827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "756 HARTWELL ST",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076665312",
            "telephone_number": "201-790-4616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "756 HARTWELL ST",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076665312",
            "telephone_number": "201-790-4610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "APOLLO",
        "first_name": "MARY",
        "middle_name": "K",
        "credential": "RDH, QOM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-18",
        "last_updated": "2024-06-18",
        "certification_date": "2024-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapy Assistant",
            "state": "NJ",
            "license": "22H100779600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna J. Lavotshkin, MD, PC
• Anna J.Lavotshkin, M.D., P.C.
• Donna A Annillo, D.P.M.
• Anthony Breit LCSW LLC
• Rose Apkarian, RD
• Maris Appelbaum, AUD
• Aurora Aranzazu, FNP-C
• Jonathan M Archer, MD
• Sary Mariell Aristy, MD
• Tracey Arnauer, LCSW

• All providers in Teaneck, NJ
• Occupational Therapy Assistant in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2024; 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.