Active NPI
Tawana Melissa Fischer, OTR/L, ATP
- Occupational Therapist
- Woodbridge, NJ
National Provider Identifier
1104061035
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 012874
- Practice address
- 81 Hillside Avenue
Woodbridge, NJ 07095-3611 - Phone
- (732) 423-4339
- NPI assigned
- Dec 5, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 012874 | NY | Primary |
| Occupational Therapist | 225X00000X | 46TR00436100 | NJ |
Addresses
Primary practice location
81 Hillside Avenue
Woodbridge, NJ 07095-3611
Mailing address
81 Hillside Avenue
Woodbridge, NJ 07095-3611
Phone (732) 423-4339
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 012874 | Other | NY | NEW YORK STATE EDUCATION DEPARTMENT OCCUPATIONAL THERAPY LICENSE |
| 46TR00436100 | Other | NJ | NEW JERSEY OFFICE OF ATTORNEY GENERAL DIVISION OF CONSUMER AFFAIRS OT ADV COUNCI |
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 |
|---|---|---|---|
| 012874 | NY | MD | Chiropractor |
| 46TR00436100 | NJ | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1228435200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1228435200000",
"number": "1104061035",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "81 HILLSIDE AVENUE",
"city": "WOODBRIDGE",
"state": "NJ",
"postal_code": "070953611",
"telephone_number": "732-423-4339"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "81 HILLSIDE AVENUE",
"city": "WOODBRIDGE",
"state": "NJ",
"postal_code": "070953611",
"telephone_number": "732-423-4339"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FISCHER",
"first_name": "TAWANA",
"middle_name": "MELISSA",
"credential": "OTR/L, ATP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-12-05",
"last_updated": "2008-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "012874",
"primary": true
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NJ",
"license": "46TR00436100",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEW YORK STATE EDUCATION DEPARTMENT OCCUPATIONAL THERAPY LICENSE",
"identifier": "012874",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEW JERSEY OFFICE OF ATTORNEY GENERAL DIVISION OF CONSUMER AFFAIRS OT ADV COUNCI",
"identifier": "46TR00436100",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Woodbridge, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.