Marie Lyani Nicandro, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

46TR01122000 Issued in NJ

Practice address

77 Schanck Rd Ste B-17
Freehold, NJ 07728-2964

Phone

(732) 414-6060

NPI assigned

Apr 26, 2023

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)

Enrolled

State licenses

Practice roles

Locations

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.

• Garden State Spine and Rehabilitation

  • Chiropractor
  • Freehold, NJ
  • NPI 1780282269
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1682467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686096000000",
    "number": "1023706322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 SCHANCK RD STE B-17",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077282964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 SCHANCK RD STE B-17",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077282964",
            "telephone_number": "732-414-6060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICANDRO",
        "first_name": "MARIE LYANI",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-26",
        "last_updated": "2023-06-07",
        "certification_date": "2023-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR01122000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• New Reflections Plastic Surgery LLC
• Nexus Core Physicians LLC
• Elena M. NG, MD
• Khanh P Nguyen, D.M.D
• Sheldon Nguyen
• Olivia M. Nicastro, APRN
• Nicholas Bizzarro Psychotherapy LLC
• Brie Niciewski
• Nonie Marie Nicklas, LMFT
• Laura Nicoll, PT, DPT

• Occupational Therapist in Freehold, NJ
• Providers in Freehold, NJ by specialty
• Occupational Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2023; 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.