Individual provider Active NPI

Vidya Pingale, OTR

  • Pediatric Occupational Therapist
  • Cresskill, NJ
National Provider Identifier
1073855722
Registry record updated May 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
46TR00255200 Issued in NJ
Practice address
300 Knickerbocker Rd
3600
Cresskill, NJ 07626-1350
Phone
(973) 534-3474
NPI assigned
Mar 20, 2013
Last updated
May 21, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 46TR00255200 NJ
Pediatric Occupational Therapist 225XP0200X 46TR00255200 NJ Primary
Feeding, Eating & Swallowing Occupational Therapist 225XF0002X 46TR00255200 NJ

Addresses

Primary practice location

300 Knickerbocker Rd
3600
Cresskill, NJ 07626-1350

Mailing address

310 Cliffside Park
Unit 2G
Cliffside Park, NJ 07010

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

LicenseStateTypeSpecialty
46TR00255200NJMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Vidya Pingale LLC Pediatrics Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1363737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369094400000",
    "number": "1073855722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 CLIFFSIDE PARK",
            "address_2": "UNIT 2G",
            "city": "CLIFFSIDE PARK",
            "state": "NJ",
            "postal_code": "07010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 KNICKERBOCKER RD",
            "address_2": "3600",
            "city": "CRESSKILL",
            "state": "NJ",
            "postal_code": "076261350",
            "telephone_number": "973-534-3474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PINGALE",
        "first_name": "VIDYA",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-20",
        "last_updated": "2013-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR00255200",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NJ",
            "license": "46TR00255200",
            "primary": true
        },
        {
            "code": "225XF0002X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Feeding, Eating & Swallowing",
            "state": "NJ",
            "license": "46TR00255200",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cresskill, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.