Individual provider Active NPI

Melinda S Pricken, OT

  • Occupational Therapist
  • Rahway, NJ
National Provider Identifier
1043784713
Registry record updated Jan 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
46TR00819500 Issued in NJ
Practice address
259 Haberle PL
Rahway, NJ 07065-2213
Phone
(973) 934-2167
NPI assigned
Jan 16, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 16, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 46TR00819500 NJ Primary

Addresses

Primary practice location

259 Haberle PL
Rahway, NJ 07065-2213

Mailing address

259 Haberle PL
Rahway, NJ 07065-2213
Phone (973) 934-2167

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250204002577 NJ Practitioner - Occupational Therapist in Private Practice 0446780522 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
JH Therapy Services Occupational Therapist CurrentSince Dec 1, 2024 Accepting new patients
JH Therapy Services Occupational Therapist CurrentSince Dec 1, 2024 Accepting new patients

Locations

111 Town Square Pl
Ste 36053
Jersey City, NJ 07310

228 Park Ave S
New York, NY 10003
Phone (215) 588-2144

Organizations & group practices 2

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": "1547596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547596800000",
    "number": "1043784713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "259 HABERLE PL",
            "city": "RAHWAY",
            "state": "NJ",
            "postal_code": "070652213",
            "telephone_number": "973-934-2167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "259 HABERLE PL",
            "city": "RAHWAY",
            "state": "NJ",
            "postal_code": "070652213",
            "telephone_number": "973-934-2167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRICKEN",
        "first_name": "MELINDA",
        "middle_name": "S",
        "name_prefix": "Ms.",
        "credential": "OT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-16",
        "last_updated": "2019-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR00819500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rahway, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.