Active NPI
Jessica Coletta
- Pediatric Occupational Therapist
- West Caldwell, NJ
National Provider Identifier
1063560613
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- 46TR00339900
- Practice address
- 1129 Bloomfield Ave
West Caldwell, NJ 07006-7127 - Phone
- (973) 575-7576
- NPI assigned
- Jan 8, 2007
- Last updated
- Jul 8, 2007
- 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 |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | 46TR00339900 | NJ | Primary |
Addresses
Primary practice location
1129 Bloomfield Ave
West Caldwell, NJ 07006-7127
Mailing address
137 Chaucer Dr
Berkeley HTS, NJ 07922-1871
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 |
|---|---|---|---|
| 46TR00339900 | NJ | MD | Pediatric Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1063560613",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "137 CHAUCER DR",
"city": "BERKELEY HTS",
"state": "NJ",
"postal_code": "079221871"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1129 BLOOMFIELD AVE",
"city": "WEST CALDWELL",
"state": "NJ",
"postal_code": "070067127",
"telephone_number": "973-575-7576"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLETTA",
"first_name": "JESSICA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "NJ",
"license": "46TR00339900",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Caldwell, NJ
- Christopher Jones, DDS, P.a.
- Booyoung Chung, RPH
- City Surgical Care of NJ PC
- City Surgical Care of NJ PC
- CLK Occupational Therapy
- Collaborative Autism Services, LLC
- Community Options Enterprises, Inc.
- Complete Care at West Caldwell LLC
- Concierge Breast Imaging & Radiological Services, P.C.
- Corey Condon, OTR
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.