Aida E. Mendez-Boud, OTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

46TA0009000100 Issued in NJ

Practice address

899 Mountain Ave Ste 1a
Springfield, NJ 07081-3403

Phone

(973) 218-6394

Fax

(973) 218-6351

NPI assigned

Sep 18, 2020

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

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.

{
    "created_epoch": "1600387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600387200000",
    "number": "1023624798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "899 MOUNTAIN AVE STE 1A",
            "city": "SPRINGFIELD",
            "state": "NJ",
            "postal_code": "070813403",
            "telephone_number": "973-218-6394",
            "fax_number": "973-218-6351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "899 MOUNTAIN AVE STE 1A",
            "city": "SPRINGFIELD",
            "state": "NJ",
            "postal_code": "070813403",
            "telephone_number": "973-218-6394",
            "fax_number": "973-218-6351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDEZ-BOUD",
        "first_name": "AIDA",
        "middle_name": "E.",
        "credential": "OTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-18",
        "last_updated": "2020-09-18",
        "certification_date": "2020-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "NJ",
            "license": "46TA0009000100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mega-Aides Home Care Agency, Inc.
• Ila Nikhil Mehta, RPH
• Rohan Umesh Mehta, MD
• James Patrick Mejia
• Nancy Blanco Melendez, ED.D.
• Mental Health Association in NJ
• Christopher Mesopotanese, PSY.D.
• Michael Loupis Counseling LLC
• Jenna Rose Miele
• Jaclyn Milano, PHARM D

• Occupational Therapy Assistant in Springfield, NJ
• Providers in Springfield, NJ by specialty
• Occupational Therapy Assistant in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2020; 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.