Active NPI
Emily J. Berlin, OTR/L
- Specialist
- Marlton, NJ
National Provider Identifier
1073609947
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 46TR00207300
- Practice address
- 3001 Lincoln Dr W
Suite I
Marlton, NJ 08053-1528 - Phone
- (856) 396-3173
- Fax
- (856) 396-0063
- NPI assigned
- Oct 5, 2006
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | 46TR00207300 | NJ | Primary |
Addresses
Primary practice location
3001 Lincoln Dr W
Suite I
Marlton, NJ 08053-1528
Mailing address
3001 Lincoln Dr W
Suite I
Marlton, NJ 08053-1528
Phone (856) 396-3173
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1430551 | Other | NJ | UNITEDHEALTHCARE MPIN |
| 3772251 | Other | NJ | CIGNA PPO PROVIDER ID |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rainbow Rehab LLC | Current | Accepting new patients |
Locations
807 N Haddon Ave
Ste 1
Haddonfield, NJ 08033
Phone (856) 330-6260
801 Route 73 N
Ste G
Marlton, NJ 08053
Phone (856) 396-3173
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.
-
- Health Service Clinic/Center
- Marlton, NJ
- NPI 1093904047
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1217289600000",
"number": "1073609947",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3001 LINCOLN DR W",
"address_2": "SUITE I",
"city": "MARLTON",
"state": "NJ",
"postal_code": "080531528",
"telephone_number": "856-396-3173",
"fax_number": "856-396-0063"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3001 LINCOLN DR W",
"address_2": "SUITE I",
"city": "MARLTON",
"state": "NJ",
"postal_code": "080531528",
"telephone_number": "856-396-3173",
"fax_number": "856-396-0063"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERLIN",
"first_name": "EMILY",
"middle_name": "J.",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-05",
"last_updated": "2008-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NJ",
"license": "46TR00207300",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITEDHEALTHCARE MPIN",
"identifier": "1430551",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA PPO PROVIDER ID",
"identifier": "3772251",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Marlton, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2008; 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.