Active NPI
Tracy Ann Loncke, OTR/L
- Occupational Therapist
- Piscataway, NJ
National Provider Identifier
1023359692
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 46TR00654300
- Practice address
- 301 N Randolphville Rd
Apt 42
Piscataway, NJ 08854-3175 - Phone
- (646) 963-5559
- NPI assigned
- Mar 7, 2013
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | 017830 | NY | |
| Occupational Therapist | 225X00000X | 46TR00654300 | NJ | Primary |
Addresses
Primary practice location
301 N Randolphville Rd
Apt 42
Piscataway, NJ 08854-3175
Mailing address
301 N Randolphville Rd
Apt 42
Piscataway, NJ 08854-3175
Phone (646) 963-5559
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 46TR00654300 | NJ | MD | Occupational Therapist |
| 017830 | NY | MD | Medical Art Specialist/Technologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1362614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1422230400000",
"number": "1023359692",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 N RANDOLPHVILLE RD",
"address_2": "APT 42",
"city": "PISCATAWAY",
"state": "NJ",
"postal_code": "088543175",
"telephone_number": "646-963-5559"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 N RANDOLPHVILLE RD",
"address_2": "APT 42",
"city": "PISCATAWAY",
"state": "NJ",
"postal_code": "088543175",
"telephone_number": "646-963-5559"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LONCKE",
"first_name": "TRACY",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-03-07",
"last_updated": "2015-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "NY",
"license": "017830",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NJ",
"license": "46TR00654300",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Piscataway, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.