Gregory Chery, OTA
Individual provider Active NPI Occupational Therapy Assistant · Bergenfield, NJ
NPI 1073221602 · NPPES record last updated Nov 14, 2022
Key facts
- NPI
- 1073221602
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- License
- 46TA09217500 (NJ)
- Practice address
- 67 S Franklin Ave
Bergenfield, NJ 07621-2015 - Phone
- (201) 310-9785
- Fax
- (201) 338-8370
- NPI assigned
- Nov 14, 2022
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 46TA09217500 | NJ | MD | Occupational Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 46TA09217500 | NJ | Yes |
Addresses
Primary practice location
67 S Franklin Ave
Bergenfield, NJ 07621-2015
Mailing address
18 Clinton St
Bloomfield, NJ 07003-2343
Phone (862) 437-3197
Other providers in Bergenfield, NJ
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- Fong Jolly Cheung
- Child Means Child LLC
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- Seulji Choi
- Rivka Talia Chudnoff
All providers in Bergenfield, NJ · Occupational Therapy Assistant in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 14, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.