Active NPI
Miriam Nulman, OTR
- Occupational Therapist
- Lakewood, NJ
National Provider Identifier
1043675655
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 46TR00722800
- Practice address
- 1400 Pine St
Lakewood, NJ 08701-4963 - Phone
- (732) 534-7325
- NPI assigned
- Dec 24, 2015
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 46TR00722800 | NJ | Primary |
Addresses
Primary practice location
1400 Pine St
Lakewood, NJ 08701-4963
Mailing address
19 Olive CT
Lakewood, NJ 08701-4058
Phone (732) 534-7325
Other names 1
- Miriam Berney
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 46TR00722800 | NJ | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rainbow Therapy | Occupational Therapist | Past | Accepting new patients |
Organizations & group practices 1
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": "1450915200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1472169600000",
"number": "1043675655",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19 OLIVE CT",
"city": "LAKEWOOD",
"state": "NJ",
"postal_code": "087014058",
"telephone_number": "732-534-7325"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 PINE ST",
"city": "LAKEWOOD",
"state": "NJ",
"postal_code": "087014963",
"telephone_number": "732-534-7325"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NULMAN",
"first_name": "MIRIAM",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-12-24",
"last_updated": "2016-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NJ",
"license": "46TR00722800",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MIRIAM",
"last_name": "BERNEY",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Lakewood, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.