Active NPI
Michael Robert McGowan
- Occupational Therapist
- Whiting, NJ
National Provider Identifier
1063508596
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 46TR00293600
- Practice address
- 509 Route 530
Keswick Pines Lifecare
Whiting, NJ 08759-3145 - Phone
- (732) 849-0849
- NPI assigned
- Oct 4, 2006
- Sex
- Male
- 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 | 46TR00293600 | NJ | Primary |
Addresses
Primary practice location
509 Route 530
Keswick Pines Lifecare
Whiting, NJ 08759-3145
Mailing address
14 Winsted Dr
Howell, NJ 07731-2347
Phone (732) 232-8747
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 |
|---|---|---|---|
| 46TR00293600 | NJ | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1063508596",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14 WINSTED DR",
"city": "HOWELL",
"state": "NJ",
"postal_code": "077312347",
"telephone_number": "732-232-8747",
"fax_number": "732-370-3621"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "509 ROUTE 530",
"address_2": "KESWICK PINES LIFECARE",
"city": "WHITING",
"state": "NJ",
"postal_code": "087593145",
"telephone_number": "732-849-0849"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCGOWAN",
"first_name": "MICHAEL",
"middle_name": "ROBERT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NJ",
"license": "46TR00293600",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Whiting, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.