Active NPI
Nicole Ward
- Occupational Therapist
- Mountainside, NJ
National Provider Identifier
1053786764
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 46TR00638800
- Practice address
- 1350 US Highway 22
Mountainside, NJ 07092-2614 - Phone
- (908) 654-4460
- NPI assigned
- Dec 7, 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 | 46TR00638800 | NJ | Primary |
Addresses
Primary practice location
1350 US Highway 22
Mountainside, NJ 07092-2614
Mailing address
1350 US Highway 22
Mountainside, NJ 07092-2614
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 46TR00638800 | NJ | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Freehold Health and Wellness LLC | Occupational Therapist | Current | Accepting new patients |
Locations
222 South St
Freehold, NJ 07728
Phone (732) 387-7795
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": "1449446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1449446400000",
"number": "1053786764",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1350 US HIGHWAY 22",
"city": "MOUNTAINSIDE",
"state": "NJ",
"postal_code": "070922614"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1350 US HIGHWAY 22",
"city": "MOUNTAINSIDE",
"state": "NJ",
"postal_code": "070922614",
"telephone_number": "908-654-4460"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WARD",
"first_name": "NICOLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-12-07",
"last_updated": "2015-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NJ",
"license": "46TR00638800",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mountainside, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2015; 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.